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General NPI Number Information
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NPI Number | 1649492901
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Entity Type | Organization
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Legal Business Name | OASIS HAIR DESIGN, INC.
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 100 WEST HOUSATONIC STREET
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City | PITTSFIELD
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State | MA
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Zip | 01201
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Country | US
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Telephone | 413-443-5111
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Fax | 413-442-3888
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Provider Business Mailing Address
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Address Line | 100 WEST HOUSATONIC STREET
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City | PITTSFIELD
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State | MA
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Zip | 01201
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Country | US
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Telephone | 413-443-5111
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Fax | 413-442-3888
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. THOMAS JAMES EICHELSER
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Credential |
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Telephone | 413-443-5111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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