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General NPI Number Information
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NPI Number | 1699854836
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Entity Type | Organization
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Legal Business Name | OASIS COUNSELING, INC
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 12/14/2011
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Provider Practice Location Address
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Address Line | 1030 SHIVE LN
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City | BOWLING GREEN
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State | KY
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Zip | 42103-8037
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Country | US
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Telephone | 270-943-1851
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 51247
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City | BOWLING GREEN
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State | KY
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Zip | 42102-5547
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Country | US
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Telephone | 270-943-1851
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Fax |
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Authorized Official
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Title or Position | PROGRAM MANAGER
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Name | TAMARA L BRUCATO
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Credential |
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Telephone | 270-943-1851
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 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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