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General NPI Number Information
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NPI Number | 1972880151
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Entity Type | Organization
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Legal Business Name | LA OASIS MENTAL HEALTH
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Dates
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Enumeration Date | 11/15/2011
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Last Update Date | 11/15/2011
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Provider Practice Location Address
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Address Line | 5652 VINELAND AVE #101
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City | N HOLLYWOOD
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State | CA
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Zip | 91601-2028
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Country | US
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Telephone | 818-980-0701
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Fax | 818-980-0707
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Provider Business Mailing Address
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Address Line | 5652 VINELAND AVE #101
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City | N HOLLYWOOD
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State | CA
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Zip | 91601-2028
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Country | US
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Telephone | 818-980-0701
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Fax | 818-980-0707
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Authorized Official
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Title or Position | CONSULTANT
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Name | ROSIA MAYS
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Credential |
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Telephone | 213-880-7872
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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