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General NPI Number Information
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NPI Number | 1235022377
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Entity Type | Organization
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Legal Business Name | OASIS HEALTH CLINIC
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Dates
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Enumeration Date | 05/29/2025
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 399 E HIGHLAND AVE STE 301
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City | SAN BERNARDINO
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State | CA
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Zip | 92404-3852
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Country | US
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Telephone | 909-881-4376
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Fax |
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Provider Business Mailing Address
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Address Line | 399 E HIGHLAND AVE STE 301
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City | SAN BERNARDINO
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State | CA
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Zip | 92404-3852
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Country | US
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Telephone | 909-881-4376
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Fax |
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Authorized Official
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Title or Position | CLINIC ADMINISTRATOR
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Name | MRS. NICOLE MARIE WHIMS
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Credential | RN
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Telephone | 909-881-4376
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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