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General NPI Number Information
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NPI Number | 1639096738
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Entity Type | Organization
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Legal Business Name | EMPOWERING OASIS WELLNESS GROUP LLC
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Dates
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Enumeration Date | 07/01/2026
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Last Update Date | 07/01/2026
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Provider Practice Location Address
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Address Line | 1004 E BIDDLE ST
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City | BALTIMORE
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State | MD
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Zip | 21202-5628
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Country | US
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Telephone | 443-925-8603
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Fax |
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Provider Business Mailing Address
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Address Line | 2724 E MONUMENT ST
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City | BALTIMORE
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State | MD
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Zip | 21205-2645
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Country | US
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Telephone | 443-925-8603
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DENOLLA LASTER
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Credential |
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Telephone | 443-925-8603
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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