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General NPI Number Information
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NPI Number | 1578045605
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Entity Type | Organization
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Legal Business Name | OASIS MEDICAL, LLC
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Dates
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Enumeration Date | 09/05/2018
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Last Update Date | 02/15/2022
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Provider Practice Location Address
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Address Line | 2238E W ATLANTIC AVE
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City | DELRAY BEACH
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State | FL
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Zip | 33445-4637
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Country | US
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Telephone | 561-330-4725
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Fax | 561-330-4765
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Provider Business Mailing Address
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Address Line | 2238E W ATLANTIC AVE
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City | DELRAY BEACH
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State | FL
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Zip | 33445-4637
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Country | US
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Telephone | 561-330-4725
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Fax | 561-330-4765
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Authorized Official
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Title or Position | CEO
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Name | ALEXANDER TAYLOR
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Credential | MD
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Telephone | 561-330-6725
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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