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General NPI Number Information
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NPI Number | 1275340408
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Entity Type | Organization
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Legal Business Name | OASIS HOME CARE AGENCY
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Dates
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Enumeration Date | 12/11/2024
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 2275 HAWES AVE APT 557
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City | DALLAS
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State | TX
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Zip | 75235-3843
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Country | US
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Telephone | 347-904-9229
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Fax |
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Provider Business Mailing Address
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Address Line | 2275 HAWES AVE APT 557
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City | DALLAS
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State | TX
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Zip | 75235-3843
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Country | US
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Telephone | 347-904-9229
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BERNICE TUFFOUR BOATENG
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Credential |
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Telephone | 347-904-9229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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