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NPI 1215424064

NPI 1215424064 : OASIS HOME HEALTH CARE AGENCY INC. : SANTA CLARITA, CA

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General NPI Number Information
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    NPI Number           |    1215424064
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    Entity Type          |    Organization 
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    Legal Business Name  |    OASIS HOME HEALTH CARE AGENCY INC. 
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Dates
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    Enumeration Date     |    04/17/2018
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    Last Update Date     |    07/28/2021
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Provider Practice Location Address
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    Address Line         |    27225 CAMP PLENTY RD STE 7C 
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    City                 |    SANTA CLARITA
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    State                |    CA
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    Zip                  |    91351-2654
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    Country              |    US
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    Telephone            |    661-481-3041
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    27225 CAMP PLENTY RD STE 7C 
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    City                 |    SANTA CLARITA
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    State                |    CA
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    Zip                  |    91351-2654
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    Country              |    US
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    Telephone            |    661-481-3041
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    Fax                  |    
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Authorized Official
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    Title or Position    |    VICE PRESIDENT
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    Name                 |    MRS. MIRIAM  POLONSKIY 
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    Credential           |    LVN
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    Telephone            |    323-449-2141
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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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