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General NPI Number Information
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NPI Number | 1396338257
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Entity Type | Organization
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Legal Business Name | OASIS HEALTH CARE LLC
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Dates
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Enumeration Date | 02/11/2021
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Last Update Date | 02/16/2021
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Provider Practice Location Address
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Address Line | 1505 WISCONSIN AVE STE 150
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City | GRAFTON
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State | WI
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Zip | 53024-2075
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Country | US
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Telephone | 262-421-8961
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Fax | 262-618-3045
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Provider Business Mailing Address
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Address Line | 1505 WISCONSIN AVE STE 150
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City | GRAFTON
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State | WI
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Zip | 53024-2075
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Country | US
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Telephone | 262-421-8961
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Fax | 262-618-3045
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Authorized Official
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Title or Position | OWNER
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Name | LAURA MCKINNIS
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Credential | APNP
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Telephone | 262-421-8961
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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