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General NPI Number Information
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NPI Number | 1467636399
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Entity Type | Organization
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Legal Business Name | FISHER-TITUS MEDICAL CARE LLC
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Dates
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Enumeration Date | 12/27/2007
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Last Update Date | 12/05/2016
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Provider Practice Location Address
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Address Line | 272 BENEDICT AVENUE
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City | NORWALK
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State | OH
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Zip | 44857
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Country | US
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Telephone | 419-668-8101
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Fax | 419-660-2686
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Provider Business Mailing Address
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Address Line | 272 BENEDICT AVENUE
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City | NORWALK
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State | OH
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Zip | 44857
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Country | US
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Telephone | 419-668-8101
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Fax | 419-660-2686
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Authorized Official
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Title or Position | SENIOR VICE PRESIDENT, OPERATIONS
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Name | LAURIE S DELGADO
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Credential |
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Telephone | 419-660-6931
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | OH
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