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General NPI Number Information
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NPI Number | 1750582375
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Entity Type | Organization
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Legal Business Name | OASIS MEDICAL AND REHABILITATION CENTER,INC
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7171 CORAL WAY STE 417
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City | MIAMI
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State | FL
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Zip | 33155-1693
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Country | US
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Telephone | 305-266-7122
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Fax |
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Provider Business Mailing Address
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Address Line | 7171 CORAL WAY STE 417
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City | MIAMI
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State | FL
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Zip | 33155-1693
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Country | US
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Telephone | 305-266-7122
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. YANURYS TAIT
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Credential | LMT RCA
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Telephone | 305-266-7122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | HCC 5783
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License Number State | FL
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