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General NPI Number Information
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NPI Number | 1467473926
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Entity Type | Individual
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Provider Name | RANDALL TITCHER M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 05/22/2013
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Provider Practice Location Address
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Address Line | 26500 AGOURA RD 565
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City | CALABASAS
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State | CA
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Zip | 91302-1952
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Country | US
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Telephone | 310-268-4626
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Fax |
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Provider Business Mailing Address
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Address Line | 26500 AGOURA RD 565
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City | CALABASAS
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State | CA
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Zip | 91302-1952
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Country | US
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Telephone | 310-268-4626
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G63208
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License Number State | CA
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