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General NPI Number Information
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NPI Number | 1194611467
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Entity Type | Individual
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Provider Name | PATRICIA TITUS M.A., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 06/14/2025
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Last Update Date | 06/14/2025
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Provider Practice Location Address
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Address Line | 3314 GRANT LINE RD STE 5
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City | NEW ALBANY
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State | IN
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Zip | 47150-6411
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Country | US
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Telephone | 812-717-3505
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Fax |
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Provider Business Mailing Address
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Address Line | 4695 FOSSKUHL RD
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City | FLOYDS KNOBS
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State | IN
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Zip | 47119-8719
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Country | US
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Telephone | 502-594-1656
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 22006548A
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License Number State | IN
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