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General NPI Number Information
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NPI Number | 1598487225
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Entity Type | Organization
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Legal Business Name | OASIS HOUSE FOR HEALING AND RESTORATION
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Dates
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Enumeration Date | 09/19/2022
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Last Update Date | 09/19/2022
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Provider Practice Location Address
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Address Line | 4831 DARROW RD
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City | STOW
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State | OH
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Zip | 44224-1409
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Country | US
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Telephone | 234-233-5249
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Fax |
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Provider Business Mailing Address
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Address Line | 68 RAVENNA ST UNIT 667
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City | HUDSON
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State | OH
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Zip | 44236-6419
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Country | US
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Telephone | 234-233-5249
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | MS. DANIELLE WRIGHT
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Credential |
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Telephone | 234-233-5249
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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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 | 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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