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General NPI Number Information
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NPI Number | 1942298567
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Entity Type | Organization
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Legal Business Name | JAMES S KRAMER DDS SC
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Dates
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Enumeration Date | 10/07/2005
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Last Update Date | 03/03/2008
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Provider Practice Location Address
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Address Line | 940 TULLAR RD
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City | NEENAH
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State | WI
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Zip | 54956-3618
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Country | US
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Telephone | 920-725-2533
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Fax | 920-725-4001
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Provider Business Mailing Address
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Address Line | 940 TULLAR RD
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City | NEENAH
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State | WI
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Zip | 54956-3618
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Country | US
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Telephone | 920-725-2533
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Fax | 920-725-4001
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Authorized Official
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Title or Position | OWNER CORPORATION PRESIDENT
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Name | JAMES SCOTT KRAMER
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Credential | DDS
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Telephone | 920-725-2533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State | WI
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