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General NPI Number Information
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NPI Number | 1225649791
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Entity Type | Organization
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Legal Business Name | OASIS MASSAGE AND BODYWORK, INC.
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Dates
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Enumeration Date | 08/10/2020
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Last Update Date | 08/10/2020
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Provider Practice Location Address
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Address Line | 5287 VAUGHN RD
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City | MONTGOMERY
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State | AL
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Zip | 36116-1104
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Country | US
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Telephone | 334-272-5411
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 357
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City | HOPE HULL
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State | AL
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Zip | 36043-0357
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Country | US
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Telephone | 334-272-5411
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL DAVID HUDGINS
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Credential | PHD LMT
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Telephone | 224-272-5411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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