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General NPI Number Information
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NPI Number | 1922582493
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Entity Type | Organization
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Legal Business Name | OASIS CENTER OF THE ROGUE VALLEY
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Dates
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Enumeration Date | 09/20/2018
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Last Update Date | 11/17/2022
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Provider Practice Location Address
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Address Line | 534 EAST MAIN ST
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City | MEDFORD
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State | OR
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Zip | 97504
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Country | US
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Telephone | 541-200-1530
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Fax | 541-772-0284
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Provider Business Mailing Address
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Address Line | PO BOX 1187
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City | MEDFORD
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State | OR
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Zip | 97501
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Country | US
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Telephone | 541-200-1530
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Fax | 541-772-0284
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. KERRI ANN HECOX
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Credential | MD
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Telephone | 541-200-1530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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