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General NPI Number Information
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NPI Number | 1992749329
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Entity Type | Individual
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Provider Name | EDWARD LOVETT KRAMER DO
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Gender | Male
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 04/15/2020
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Provider Practice Location Address
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Address Line | 1 MERCY LN STE 505
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City | HOT SPRINGS
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State | AR
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Zip | 71913-6462
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Country | US
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Telephone | 501-623-2781
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Fax | 501-623-2405
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Provider Business Mailing Address
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Address Line | 4916 CAMP BOWIE BLVD 108
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City | FORT WORTH
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State | TX
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Zip | 76107-4196
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Country | US
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Telephone | 817-731-4070
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Fax | 817-731-4155
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | J7038
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | J7038
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | E-10819
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License Number State | AR
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