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General NPI Number Information
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NPI Number | 1780223529
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Entity Type | Organization
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Legal Business Name | OASIS COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 12/26/2019
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Last Update Date | 06/23/2020
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Provider Practice Location Address
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Address Line | 1314 KENSINGTON RD UNIT 4531
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City | OAK BROOK
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State | IL
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Zip | 60522-7136
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Country | US
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Telephone | 630-324-4996
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Fax | 219-844-0195
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Provider Business Mailing Address
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Address Line | 7956 BIRCH DR
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City | HAMMOND
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State | IN
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Zip | 46324-3329
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Country | US
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Telephone | 219-781-1113
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | ANTHONY S DILLON
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Credential | LCPC
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Telephone | 219-781-1113
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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