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General NPI Number Information
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NPI Number | 1619433372
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Entity Type | Organization
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Legal Business Name | OASIS NEUROLOGY AND PAIN INSTITUTE INC
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Dates
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Enumeration Date | 02/18/2019
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Last Update Date | 02/18/2019
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Provider Practice Location Address
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Address Line | 10811 WASHINGTON BLVD STE 250
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City | CULVER CITY
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State | CA
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Zip | 90232-3670
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Country | US
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Telephone | 310-254-9015
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Fax | 424-326-3253
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Provider Business Mailing Address
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Address Line | 1424 WARNALL AVE
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City | LOS ANGELES
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State | CA
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Zip | 90024-5333
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Country | US
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Telephone | 954-638-8615
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ALEX SABO
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Credential | MD
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Telephone | 954-638-8615
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P2900X
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Taxonomy Name | Pain Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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