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General NPI Number Information
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NPI Number | 1336292754
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Entity Type | Organization
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Legal Business Name | OAHE, INC.
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 06/05/2018
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Provider Practice Location Address
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Address Line | 125 W PLEASANT DR SUITE #1
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City | PIERRE
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State | SD
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Zip | 57501-2403
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Country | US
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Telephone | 605-224-4501
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Fax | 605-224-9619
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Provider Business Mailing Address
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Address Line | 125 W PLEASANT DR SUITE #1
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City | PIERRE
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State | SD
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Zip | 57501-2403
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Country | US
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Telephone | 605-224-4501
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Fax | 605-224-9619
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. BRETT ALAN WHITE
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Credential |
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Telephone | 605-224-4501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State | SD
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