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General NPI Number Information
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NPI Number | 1619944170
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Entity Type | Organization
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Legal Business Name | OASIS OBSTETRICS & GYNECOLOGY, PLC
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Dates
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Enumeration Date | 03/03/2006
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Last Update Date | 09/29/2014
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Provider Practice Location Address
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Address Line | 81 W. GUADALUPE ROAD SUITE 111
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City | GILBERT
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State | AZ
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Zip | 85233
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Country | US
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Telephone | 480-854-2676
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Fax | 480-854-3618
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Provider Business Mailing Address
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Address Line | 81 W. GUADALUPE ROAD SUITE 111
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City | GILBERT
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State | AZ
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Zip | 85233
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Country | US
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Telephone | 480-854-2676
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Fax | 480-854-3618
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Authorized Official
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Title or Position | OWNER
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Name | DR. SHELLY R. MESSER
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Credential | M.D.
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Telephone | 480-854-2676
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 28636
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License Number State | AZ
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