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General NPI Number Information
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NPI Number | 1407631666
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Entity Type | Organization
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Legal Business Name | OASIS THERAPY
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Dates
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Enumeration Date | 08/28/2023
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 2126 FILMORE AVE STE 4
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City | ERIE
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State | PA
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Zip | 16506-6918
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Country | US
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Telephone | 814-844-2035
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Fax |
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Provider Business Mailing Address
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Address Line | 2126 FILMORE AVE STE 4
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City | ERIE
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State | PA
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Zip | 16506-6918
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Country | US
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Telephone | 814-844-2035
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Fax |
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Authorized Official
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Title or Position | LICENSED THERAPIST
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Name | DR. ZAMEN ADIL ABO-ZEBIBA
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Credential | PSY.D., LPC
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Telephone | 814-844-2035
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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