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General NPI Number Information
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NPI Number | 1457869349
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Entity Type | Organization
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Legal Business Name | OASIS ADHC, INC
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Dates
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Enumeration Date | 01/13/2018
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Last Update Date | 01/13/2018
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Provider Practice Location Address
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Address Line | 3271 N E ST
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City | SAN BERNARDINO
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State | CA
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Zip | 92405-2617
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Country | US
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Telephone | 818-395-6175
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Fax |
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Provider Business Mailing Address
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Address Line | 700 ORANGE GROVE AVE APT 6
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City | GLENDALE
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State | CA
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Zip | 91205-1727
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Country | US
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Telephone | 818-395-6175
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Fax |
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | SARKIS SARKISYAN
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Credential |
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Telephone | 818-395-6175
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State | CA
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