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General NPI Number Information
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NPI Number | 1558224121
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Entity Type | Organization
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Legal Business Name | PSYCHIATRY OASIS LLC
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 5613 DUNHAM RD
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City | DOWNERS GROVE
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State | IL
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Zip | 60516-1247
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Country | US
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Telephone | 617-433-7129
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Fax |
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Provider Business Mailing Address
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Address Line | 439 US ROUTE 1 STE A
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City | YORK
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State | ME
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Zip | 03909-1638
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Country | US
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Telephone | 617-433-7129
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMIR W RAAD
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Credential | NP
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Telephone | 617-433-7129
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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