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General NPI Number Information
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NPI Number | 1588115273
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Entity Type | Organization
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Legal Business Name | RXO, LLC
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Dates
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Enumeration Date | 10/18/2016
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Last Update Date | 02/02/2017
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Provider Practice Location Address
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Address Line | 1000 E BROAD ST
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City | COLUMBUS
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State | OH
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Zip | 43205-1381
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Country | US
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Telephone | 513-515-7344
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 E BROAD ST
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City | COLUMBUS
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State | OH
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Zip | 43205-1381
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AARON HASLAM
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Credential |
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Telephone | 513-515-7344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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