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General NPI Number Information
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NPI Number | 1770768590
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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 | 12/31/2007
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Last Update Date | 06/23/2008
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Provider Practice Location Address
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Address Line | 1017 SHIVE LN STE D
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City | BOWLING GREEN
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State | KY
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Zip | 42103-8039
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Country | US
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Telephone | 270-792-1552
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Fax | 270-782-7282
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Provider Business Mailing Address
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Address Line | 1017 SHIVE LN STE D
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City | BOWLING GREEN
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State | KY
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Zip | 42103-8039
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Country | US
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Telephone | 270-792-1552
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Fax | 270-782-7282
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Authorized Official
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Title or Position | ACCOUNT MANAGER
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Name | VICKY LYNN HARRELL
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Credential |
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Telephone | 270-792-1552
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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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