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General NPI Number Information
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NPI Number | 1619363512
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Entity Type | Individual
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Provider Name | ROSS HUMES
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Gender | Male
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Dates
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Enumeration Date | 04/08/2015
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Last Update Date | 03/07/2026
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Provider Practice Location Address
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Address Line | 300 EAST HOSPITAL DRIVE
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City | FORT GORDON
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State | GA
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Zip | 30905
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Country | US
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Telephone | 706-787-2157
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Fax |
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Provider Business Mailing Address
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Address Line | 3400 OLENTANGY RIVER RD
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City | COLUMBUS
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State | OH
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Zip | 43202-1523
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Country | US
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Telephone | 614-754-5500
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Fax | 614-754-5501
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 35.131749
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License Number State | OH
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