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General NPI Number Information
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NPI Number | 1598814618
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Entity Type | Individual
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Provider Name | THOMAS CRAMER CRNA
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Gender | Male
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 12/13/2024
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Provider Practice Location Address
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Address Line | 434 N WEST ST
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City | PERRYVILLE
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State | MO
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Zip | 63775-1359
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Country | US
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Telephone | 573-547-2536
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 486
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City | STE GENEVIEVE
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State | MO
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Zip | 63670-0486
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Country | US
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Telephone | 573-883-2751
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Fax | 573-883-4472
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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 | 081104
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License Number State | MO
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