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General NPI Number Information
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NPI Number | 1215616040
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Entity Type | Organization
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Legal Business Name | ARYAMOR INC
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Dates
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Enumeration Date | 07/18/2023
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Last Update Date | 07/25/2023
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Provider Practice Location Address
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Address Line | 2200 S US HIGHWAY 68
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City | URBANA
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State | OH
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Zip | 43078-9470
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Country | US
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Telephone | 423-505-6833
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Fax |
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Provider Business Mailing Address
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Address Line | 120 SHAWNEE RUN APT F
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City | WEST CARROLLTON
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State | OH
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Zip | 45449-3950
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Country | US
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Telephone | 423-505-6833
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | RHONDA T.G. BROWN
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Credential | NP
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Telephone | 423-505-6833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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