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General NPI Number Information
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NPI Number | 1639532716
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Entity Type | Individual
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Provider Name | ERIK ROSS
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Gender | Male
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Dates
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Enumeration Date | 04/05/2016
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Last Update Date | 07/12/2022
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Provider Practice Location Address
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Address Line | 1 CHILDRENS PLZ
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City | DAYTON
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State | OH
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Zip | 45404-1815
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Country | US
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Telephone | 937-641-4000
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Fax | 937-641-4500
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Provider Business Mailing Address
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Address Line | 2301 ERWIN RD
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City | DURHAM
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State | NC
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Zip | 27705-4699
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Country | US
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Telephone | 919-684-8111
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 35.142840
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License Number State | OH
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