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General NPI Number Information
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NPI Number | 1881806743
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Entity Type | Organization
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Legal Business Name | OASIS RESIDENTIAL CARE INC
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3508 PRAIRIE AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63107-2214
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Country | US
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Telephone | 314-534-3355
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Fax |
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Provider Business Mailing Address
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Address Line | 17868 ARGONNE ESTATES DR
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City | FLORISSANT
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State | MO
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Zip | 63034-1334
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VPRES
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Name | SHERMAN STRONG
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Credential |
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Telephone | 314-534-3355
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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 |
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