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General NPI Number Information
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NPI Number | 1043719107
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Entity Type | Organization
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Legal Business Name | OASIS NURSING LLC
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Dates
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Enumeration Date | 02/05/2018
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Last Update Date | 02/05/2018
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Provider Practice Location Address
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Address Line | 850 E MIDLOTHIAN BLVD
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City | YOUNGSTOWN
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State | OH
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Zip | 44502-2507
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Country | US
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Telephone | 330-788-3038
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Fax | 330-788-3038
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Provider Business Mailing Address
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Address Line | 391 BRENTWOOD AVE
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City | TOMS RIVER
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State | NJ
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Zip | 08755-2004
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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 | MANAGING MEMBER
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Name | BORUCH FINK
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Credential |
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Telephone | 330-788-3038
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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