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General NPI Number Information
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NPI Number | 1487957130
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Entity Type | Organization
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Legal Business Name | OAK & ASSOCIATES, LLC
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Dates
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Enumeration Date | 12/17/2010
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Last Update Date | 06/29/2019
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Provider Practice Location Address
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Address Line | 2210 GOLDSMITH LN STE 104
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City | LOUISVILLE
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State | KY
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Zip | 40218-1038
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Country | US
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Telephone | 502-792-0667
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Fax | 502-416-0467
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Provider Business Mailing Address
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Address Line | 3303 AUDUBON RIDGE DR
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City | LOUISVILLE
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State | KY
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Zip | 40213-1022
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Country | US
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Telephone | 502-594-2829
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Fax | 502-416-0467
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. CHARLES SHAWN OAK
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Credential | LMFT, LCSW
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Telephone | 502-792-0667
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 33006299A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0750
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 35001769A
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License Number State | IN
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Taxonomy #5
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 104010
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License Number State | KY
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