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General NPI Number Information
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NPI Number | 1316567761
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Entity Type | Organization
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Legal Business Name | CARE OASIS ASSISTED LIVING PROVIDERS LLC
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Dates
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Enumeration Date | 04/25/2020
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Last Update Date | 04/25/2020
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Provider Practice Location Address
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Address Line | 21573 GREEN SPRING RD
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City | ABINGDON
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State | VA
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Zip | 24211-5847
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Country | US
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Telephone | 276-739-7777
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Fax | 276-739-7768
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Provider Business Mailing Address
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Address Line | 510 GODSEY RD APT 178
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City | BRISTOL
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State | TN
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Zip | 37620-5731
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Country | US
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Telephone | 856-278-0630
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | DAJO ORUBO
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Credential |
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Telephone | 856-278-0630
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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