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General NPI Number Information
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NPI Number | 1588127369
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Entity Type | Organization
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Legal Business Name | OASIS COMMUNITY CENTER, INC
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Dates
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Enumeration Date | 04/09/2019
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 3895 OLD PACTOLUS RD
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City | GREENVILLE
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State | NC
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Zip | 27834-0784
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Country | US
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Telephone | 252-864-3719
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Fax |
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Provider Business Mailing Address
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Address Line | 3895 OLD PACTOLUS RD
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City | GREENVILLE
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State | NC
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Zip | 27834-0784
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | CALESHA SNEED
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Credential |
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Telephone | 252-864-3719
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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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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Taxonomy #7
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #8
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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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