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General NPI Number Information
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NPI Number | 1568286201
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Entity Type | Organization
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Legal Business Name | OASIS HOME SUPPORT LLC
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Dates
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Enumeration Date | 11/11/2024
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 8555 RIVER RD STE 250
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City | INDIANAPOLIS
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State | IN
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Zip | 46240-4366
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Country | US
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Telephone | 800-977-2638
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Fax |
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Provider Business Mailing Address
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Address Line | 8555 RIVER RD STE 250
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City | INDIANAPOLIS
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State | IN
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Zip | 46240-4366
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Country | US
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Telephone | 800-977-2638
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Fax | 317-659-9921
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Authorized Official
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Title or Position | MEMBER
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Name | CRYSTAL ROSS
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Credential |
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Telephone | 708-200-6910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care 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 | 376J00000X
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Taxonomy Name | Homemaker
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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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