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NPI 1316360845

NPI 1316360845 : OASIS REHABILITATION AND NURSING LLC : CENTER MORICHES, NY

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General NPI Number Information
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    NPI Number           |    1316360845
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    Entity Type          |    Organization 
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    Legal Business Name  |    OASIS REHABILITATION AND NURSING LLC 
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Dates
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    Enumeration Date     |    02/04/2014
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    Last Update Date     |    02/04/2014
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Provider Practice Location Address
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    Address Line         |    6 FROWEIN RD 
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    City                 |    CENTER MORICHES
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    State                |    NY
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    Zip                  |    11934-1604
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    Country              |    US
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    Telephone            |    516-671-4100
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    Fax                  |    516-671-9458
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Provider Business Mailing Address
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    Address Line         |    6 FROWEIN RD 
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    City                 |    CENTER MORICHES
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    State                |    NY
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    Zip                  |    11934-1604
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    Country              |    US
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    Telephone            |    516-671-4100
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    Fax                  |    516-671-9458
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Authorized Official
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    Title or Position    |    DIRECTOR OF BILLING
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    Name                 |     LISA  POLIMENI 
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    Credential           |    
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    Telephone            |    516-671-4100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    314000000X
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    Taxonomy Name        |    Skilled Nursing Facility
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    License Number       |    5151320N
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    License Number State |    NY
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