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General NPI Number Information
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NPI Number | 1558060616
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Entity Type | Organization
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Legal Business Name | OASIS RESIDENTIAL SERVICES, LLC.
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Dates
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Enumeration Date | 02/28/2023
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Last Update Date | 02/28/2023
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Provider Practice Location Address
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Address Line | 6918 IRONGATE DR
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23234-2843
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Country | US
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Telephone | 804-943-9592
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Fax | 804-655-6806
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Provider Business Mailing Address
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Address Line | PO BOX 37232
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23234-7232
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Country | US
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Telephone | 804-943-9592
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Fax | 804-655-6680
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Authorized Official
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Title or Position | OWNER
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Name | NATALIA WHITE
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Credential |
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Telephone | 804-943-9592
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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