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NPI 1730394834

NPI 1730394834 : OASIS CARE, INC. : SAN JOSE, CA

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General NPI Number Information
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    NPI Number           |    1730394834
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    Entity Type          |    Organization 
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    Legal Business Name  |    OASIS CARE, INC. 
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Dates
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    Enumeration Date     |    05/11/2007
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    Last Update Date     |    07/21/2022
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Provider Practice Location Address
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    Address Line         |    101 JOSE FIGUERES AVE 
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    City                 |    SAN JOSE
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    State                |    CA
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    Zip                  |    95116
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    Country              |    US
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    Telephone            |    408-347-3120
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    Fax                  |    408-347-3121
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Provider Business Mailing Address
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    Address Line         |    101 JOSE FIGUERES AVE (FORMERLY P.O. BOX 2260, SANJOSE 95109)
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    City                 |    SAN JOSE
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    State                |    CA
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    Zip                  |    95116
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    Country              |    US
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    Telephone            |    408-347-3120
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    Fax                  |    408-347-3121
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Authorized Official
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    Title or Position    |    CLINICAL DIRECTOR
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    Name                 |     CATHRYN  WATERS 
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    Credential           |    LMFT
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    Telephone            |    408-347-3104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    320800000X
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    Taxonomy Name        |    Mental Illness Community Based Residential Treatment Facility
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    License Number       |    
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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