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General NPI Number Information
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NPI Number | 1346946399
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Entity Type | Organization
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Legal Business Name | TITAN HOMECARE SERVICES, LLC.
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Dates
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Enumeration Date | 02/01/2023
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Last Update Date | 07/12/2023
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Provider Practice Location Address
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Address Line | 30 BOWDOIN ST
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City | SPRINGFIELD
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State | MA
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Zip | 01109-4034
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Country | US
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Telephone | 413-563-1061
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Fax |
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Provider Business Mailing Address
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Address Line | 18 NOBLE STEED XING
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City | SOUTHWICK
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State | MA
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Zip | 01077-7900
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Country | US
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Telephone | 413-563-1061
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. NETSY DIAZ
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Credential | BA
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Telephone | 413-563-1061
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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