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General NPI Number Information
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NPI Number | 1548623820
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Entity Type | Organization
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Legal Business Name | OASIS COUNSELING, LLC
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Dates
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Enumeration Date | 04/03/2016
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Last Update Date | 04/03/2016
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Provider Practice Location Address
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Address Line | 772 W LUMSDEN RD
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City | BRANDON
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State | FL
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Zip | 33511-6260
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Country | US
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Telephone | 813-685-6700
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Fax | 813-413-7979
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Provider Business Mailing Address
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Address Line | 772 W LUMSDEN RD
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City | BRANDON
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State | FL
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Zip | 33511-6260
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Country | US
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Telephone | 813-685-6700
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Fax | 813-413-7979
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Authorized Official
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Title or Position | PRESIDENT
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Name | MAGDALA DULCIO
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Credential | LMHC
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Telephone | 954-292-1417
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH8997
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License Number State | FL
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