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General NPI Number Information
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NPI Number | 1962525543
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Entity Type | Organization
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Legal Business Name | OASIS ADULT DAY SERVICES
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3817 S LEWIS AVE
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City | TULSA
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State | OK
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Zip | 74105-8219
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Country | US
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Telephone | 918-749-6969
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Fax |
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Provider Business Mailing Address
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Address Line | 3817 S LEWIS AVE
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City | TULSA
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State | OK
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Zip | 74105-8219
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Country | US
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Telephone | 918-749-6969
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MARTHA RAINS
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Credential |
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Telephone | 918-749-6969
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | DC7202-7202
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License Number State | OK
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