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General NPI Number Information
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NPI Number | 1467854901
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Entity Type | Organization
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Legal Business Name | OASIS PSYCHOLOGICAL SERVICES
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Dates
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Enumeration Date | 09/16/2014
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Last Update Date | 09/16/2014
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Provider Practice Location Address
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Address Line | 3815 W SAINT JOSEPH ST SUITE A300
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City | LANSING
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State | MI
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Zip | 48917-3666
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Country | US
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Telephone | 517-489-1468
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Fax |
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Provider Business Mailing Address
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Address Line | 3815 W SAINT JOSEPH ST SUITE A300
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City | LANSING
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State | MI
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Zip | 48917-3666
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Country | US
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Telephone | 517-489-1468
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | JENNIFER ROBIN BELL
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Credential | LMSW
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Telephone | 517-489-1468
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801091423
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License Number State | MI
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