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General NPI Number Information
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NPI Number | 1154785244
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Entity Type | Organization
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Legal Business Name | E & M OASIS
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Dates
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Enumeration Date | 04/05/2016
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Last Update Date | 04/05/2016
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Provider Practice Location Address
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Address Line | 1115 TURTLE CREEK DR S
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City | JACKSONVILLE
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State | FL
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Zip | 32218-3673
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Country | US
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Telephone | 904-438-0984
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Fax | 904-696-3975
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Provider Business Mailing Address
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Address Line | 1115 TURTLE CREEK DR S
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City | JACKSONVILLE
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State | FL
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Zip | 32218-3673
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Country | US
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Telephone | 904-438-0984
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Fax | 904-696-3975
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. MARILYNN SMITH BAHARI
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Credential | LCSW
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Telephone | 904-438-0984
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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 | 233402
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License Number State | FL
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