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General NPI Number Information
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NPI Number | 1427018662
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Entity Type | Individual
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Provider Name | THOMAS EDWARD CEREMUGA PHD, CRNA
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Gender | Male
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Dates
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Enumeration Date | 03/23/2006
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 3851 ROGER BROOKE DRIVE BAMC MCHE-QD (CREDS)
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City | FORT SAM HOUSTON
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State | TX
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Zip | 78234-6200
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Country | US
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Telephone | 210-221-6610
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Fax |
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Provider Business Mailing Address
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Address Line | 20009 REGENCY RUN
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City | GARDEN RIDGE
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State | TX
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Zip | 78266-2345
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Country | US
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Telephone | 210-833-0786
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Fax |
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 560082
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License Number State | TX
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