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General NPI Number Information
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NPI Number | 1013920248
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Entity Type | Individual
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Provider Name | AARON GARY HUMPHREYS MD
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Gender | Male
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 06/12/2023
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Provider Practice Location Address
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Address Line | 1507 W MAIN ST
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City | GATESVILLE
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State | TX
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Zip | 76528-1024
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Country | US
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Telephone | 254-248-2166
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Fax | 254-248-6306
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Provider Business Mailing Address
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Address Line | 1507 W MAIN ST
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City | GATESVILLE
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State | TX
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Zip | 76528-1024
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Country | US
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Telephone | 254-248-2166
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Fax | 254-248-6306
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 036113128
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 12659
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | Q0459
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License Number State | TX
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