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General NPI Number Information
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NPI Number | 1649076340
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Entity Type | Organization
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Legal Business Name | OASISROCK MEDICAL CENTRE PLLC
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Dates
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Enumeration Date | 02/22/2025
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 905 MEDICAL CENTRE DR STE C
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City | ARLINGTON
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State | TX
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Zip | 76012-4755
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Country | US
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Telephone | 682-882-6060
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Fax | 682-882-6070
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Provider Business Mailing Address
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Address Line | 905 MEDICAL CENTRE DR STE C
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City | ARLINGTON
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State | TX
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Zip | 76012-4755
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Country | US
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Telephone | 682-882-6060
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Fax | 682-882-6070
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | EBERECHI ANOZIE
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Credential | DO
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Telephone | 973-687-5349
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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