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General NPI Number Information
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NPI Number | 1932912912
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Entity Type | Individual
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Provider Name | THOMAS NGUGI M.S.
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Gender | Male
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Dates
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Enumeration Date | 01/31/2025
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 9800 HILLWOOD PKWY STE 140
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City | FORT WORTH
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State | TX
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Zip | 76177-1532
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Country | US
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Telephone | 817-361-4545
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Fax |
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Provider Business Mailing Address
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Address Line | 2417 PONCA DR
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City | FORT WORTH
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State | TX
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Zip | 76179-1054
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Country | US
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Telephone | 254-265-2200
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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