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General NPI Number Information
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NPI Number | 1376477489
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Entity Type | Organization
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Legal Business Name | SAFE SPACE OASIS LLC
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Dates
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Enumeration Date | 06/12/2026
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Last Update Date | 06/12/2026
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Provider Practice Location Address
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Address Line | 8276 COPPERNAIL WAY
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City | WEST CHESTER
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State | OH
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Zip | 45069-1856
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Country | US
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Telephone | 513-900-7575
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Fax |
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Provider Business Mailing Address
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Address Line | 8276 COPPERNAIL WAY
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City | WEST CHESTER
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State | OH
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Zip | 45069-1856
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Country | US
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Telephone | 513-900-7575
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Fax |
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Authorized Official
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Title or Position | CEO/ PEER SPECIALIST
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Name | MS. CHRISTIE L STUCKEY
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Credential | CPRS
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Telephone | 513-900-7575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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