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General NPI Number Information
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NPI Number | 1932819687
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Entity Type | Organization
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Legal Business Name | OASIS ADULT DAY CARE CENTER LLC
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Dates
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Enumeration Date | 12/02/2022
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 696 WEST 84TH AVENUE
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City | THORNTON
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State | CO
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Zip | 80260
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Country | US
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Telephone | 720-504-4242
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Fax | 303-265-9199
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Provider Business Mailing Address
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Address Line | 2860 CALLAN CT
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City | BROOMFIELD
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State | CO
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Zip | 80023-4253
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Country | US
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Telephone | 408-489-3771
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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. IBRAHIM AYAD
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Credential |
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Telephone | 720-504-4242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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