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General NPI Number Information
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NPI Number | 1699566539
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Entity Type | Organization
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Legal Business Name | OASIS COMMUNITY
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Dates
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Enumeration Date | 05/12/2025
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 7804 SHALIMAR ST
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City | MIRAMAR
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State | FL
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Zip | 33023-2428
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Country | US
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Telephone | 727-537-6364
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Fax |
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Provider Business Mailing Address
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Address Line | 7901 4TH ST N STE 300
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City | ST PETERSBURG
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State | FL
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Zip | 33702-4399
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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 | FOUNDER
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Name | RAYAN BAIN
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Credential | LMHC
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Telephone | 727-537-6364
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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