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General NPI Number Information
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NPI Number | 1699080937
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Entity Type | Organization
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Legal Business Name | OASIS PAIN MANAGEMENT LLC
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Dates
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Enumeration Date | 08/11/2010
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Last Update Date | 12/13/2010
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Provider Practice Location Address
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Address Line | 8 BYPASS RD
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City | SALEM
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State | NJ
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Zip | 08079-2054
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Country | US
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Telephone | 856-279-2560
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Fax | 856-279-2561
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Provider Business Mailing Address
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Address Line | 8 BYPASS RD
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City | SALEM
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State | NJ
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Zip | 08079-2054
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/MD
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Name | DENISE A SCARINGE-DIETRICH
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Credential | MD
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Telephone | 215-901-3199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain 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 | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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