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General NPI Number Information
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NPI Number | 1790037083
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Entity Type | Organization
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Legal Business Name | OASIS COUNSELING CENTER
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Dates
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Enumeration Date | 10/10/2012
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Last Update Date | 10/10/2012
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Provider Practice Location Address
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Address Line | 2697 INTERNATIONAL PKWY # 2-101
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-7803
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Country | US
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Telephone | 757-301-7129
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Fax |
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Provider Business Mailing Address
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Address Line | 2697 INTERNATIONAL PKWY # 2-101
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-7803
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Country | US
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Telephone | 757-301-7129
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. RICHARD M MASON JR.
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Credential | PHD, LPC
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Telephone | 757-301-7129
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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