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General NPI Number Information
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NPI Number | 1063140036
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Entity Type | Organization
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Legal Business Name | OASIS NEXCARE MEDICAL LLC
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Dates
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Enumeration Date | 08/09/2022
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Last Update Date | 08/09/2022
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Provider Practice Location Address
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Address Line | 14851 BUILD AMERICA DR
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City | WOODBRIDGE
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State | VA
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Zip | 22191-3438
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Country | US
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Telephone | 571-456-0206
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Fax |
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Provider Business Mailing Address
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Address Line | 17443 DENALI PL
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City | DUMFRIES
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State | VA
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Zip | 22025-1967
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Country | US
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Telephone | 157-125-1762
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR/OWNER
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Name | JOYCE OYELADE
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Credential | LPN
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Telephone | 571-251-7626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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