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General NPI Number Information
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NPI Number | 1639436918
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Entity Type | Organization
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Legal Business Name | OASIS BEHAVIORAL HEALTH CENTER LLC
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Dates
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Enumeration Date | 04/11/2012
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Last Update Date | 01/19/2024
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Provider Practice Location Address
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Address Line | 1506 PROVIDENCE HWY UNIT 25
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City | NORWOOD
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State | MA
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Zip | 02062-4647
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Country | US
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Telephone | 617-401-7700
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Fax | 617-299-8534
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Provider Business Mailing Address
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Address Line | 1506 PROVIDENCE HWY UNIT 25
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City | NORWOOD
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State | MA
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Zip | 02062-4647
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Country | US
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Telephone | 617-401-7700
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Fax | 617-299-8534
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. MATHEWS THOMAS
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Credential | M.D
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Telephone | 617-947-8897
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | 230794
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number | 230794
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 2084F0202X
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Taxonomy Name | Forensic Psychiatry Physician
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License Number | 230794
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 230794
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License Number State | MA
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