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General NPI Number Information
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NPI Number | 1578860599
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Entity Type | Organization
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Legal Business Name | OASIS ADULT DAY CARE CENTER, INC
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Dates
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Enumeration Date | 02/28/2011
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Last Update Date | 02/28/2011
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Provider Practice Location Address
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Address Line | 10705 NW 33RD ST SUITE 110
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City | DORAL
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State | FL
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Zip | 33172-5905
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Country | US
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Telephone | 305-456-5547
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Fax | 305-960-7530
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Provider Business Mailing Address
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Address Line | 10705 NW 33RD ST SUITE 110
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City | DORAL
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State | FL
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Zip | 33172-5905
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Country | US
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Telephone | 305-456-5547
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Fax | 305-960-7530
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Authorized Official
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Title or Position | ADMINISTARTOR
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Name | MICHAEL RUIZ
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Credential |
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Telephone | 786-715-0933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 9164
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License Number State | FL
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