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General NPI Number Information
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NPI Number | 1063651453
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Entity Type | Organization
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Legal Business Name | OASES INSTITUTE OF HEALTH INC.
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Dates
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Enumeration Date | 02/10/2009
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Last Update Date | 02/10/2009
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Provider Practice Location Address
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Address Line | 1800 INDUSTRIAL RD STE 110
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City | LAS VEGAS
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State | NV
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Zip | 89102-2685
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Country | US
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Telephone | 702-380-8200
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 INDUSTRIAL RD STE 110
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City | LAS VEGAS
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State | NV
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Zip | 89102-2685
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Country | US
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Telephone | 702-380-8200
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JEROME NWANNA NWOKIKE
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Credential | MD
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Telephone | 702-380-8200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 12549
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | 12549
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License Number State | NV
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