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General NPI Number Information
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NPI Number | 1659257087
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Entity Type | Organization
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Legal Business Name | OASIS MOBILE HEALTHCARE LLC
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Dates
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Enumeration Date | 08/12/2025
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 4550 W OAKEY BLVD STE 111
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City | LAS VEGAS
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State | NV
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Zip | 89102-1559
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Country | US
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Telephone | 702-790-0611
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Fax | 702-790-0611
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Provider Business Mailing Address
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Address Line | 4550 W OAKEY BLVD STE 111
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City | LAS VEGAS
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State | NV
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Zip | 89102-1559
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Country | US
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Telephone | 702-790-0611
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Fax | 702-790-0611
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Authorized Official
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Title or Position | BILLER/MANAGER
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Name | AUBREY CLUM
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Credential |
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Telephone | 702-488-6204
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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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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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