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General NPI Number Information
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NPI Number | 1972627883
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Entity Type | Organization
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Legal Business Name | PHILIP KRAMER
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Dates
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Enumeration Date | 03/17/2007
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Last Update Date | 06/24/2008
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Provider Practice Location Address
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Address Line | 276 CANAL ST
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City | BRATTLEBORO
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State | VT
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Zip | 05301-6464
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Country | US
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Telephone | 802-254-1141
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Fax | 802-254-3494
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Provider Business Mailing Address
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Address Line | PO BOX 8344
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City | BRATTLEBORO
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State | VT
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Zip | 05304-8344
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Country | US
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Telephone | 802-254-1141
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Fax | 802-254-3494
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Authorized Official
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Title or Position | OWNER
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Name | MR. PHILIP KRAMER
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Credential | CPO
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Telephone | 802-254-1141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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