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NPI 1972147718

NPI 1972147718 : OASIS BH : BRIGANTINE, NJ

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General NPI Number Information
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    NPI Number           |    1972147718
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    Entity Type          |    Organization 
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    Legal Business Name  |    OASIS BH 
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Dates
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    Enumeration Date     |    11/05/2019
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    Last Update Date     |    08/22/2025
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Provider Practice Location Address
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    Address Line         |    4274 HARBOR BEACH BLVD 
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    City                 |    BRIGANTINE
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    State                |    NJ
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    Zip                  |    08203-1362
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    Country              |    US
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    Telephone            |    908-340-0492
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    202 14TH ST N APT B 
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    City                 |    BRIGANTINE
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    State                |    NJ
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    Zip                  |    08203-3223
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    Country              |    US
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    Telephone            |    917-669-8305
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    Fax                  |    732-734-1962
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Authorized Official
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    Title or Position    |    PMHNP-BC
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    Name                 |     LUIZA  TRIOLO 
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    Credential           |    PSYD, PMHNP-BC
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    Telephone            |    917-669-8305
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    
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    License Number State |    
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