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General NPI Number Information
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NPI Number | 1083895890
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Entity Type | Organization
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Legal Business Name | OASIS ADULT DAY CARE,INC
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Dates
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Enumeration Date | 11/20/2007
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Last Update Date | 11/20/2007
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Provider Practice Location Address
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Address Line | 6300 WEST EXPRESSWAY 83
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City | PALMVIEW
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State | TX
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Zip | 78573
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Country | US
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Telephone | 956-585-0255
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Fax | 956-585-8194
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Provider Business Mailing Address
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Address Line | P.O. BOX 212
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City | MISSION
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State | TX
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Zip | 78572
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Country | US
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Telephone | 956-585-0255
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Fax | 956-585-8194
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Authorized Official
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Title or Position | ADMIN.
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Name | MS. JOANNA J GONZALEZ
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Credential |
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Telephone | 956-585-0255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number | 119651
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License Number State | TX
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