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General NPI Number Information
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NPI Number | 1477379691
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Entity Type | Organization
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Legal Business Name | TITAN HEALTH PARTNERS LLC
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Dates
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Enumeration Date | 12/03/2024
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 23 POCONO RD STE 100
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City | DENVILLE
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State | NJ
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Zip | 07834-3023
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Country | US
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Telephone | 973-927-5788
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Fax |
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Provider Business Mailing Address
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Address Line | 629 CRANBURY RD FL 2
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-4096
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Country | US
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Telephone | 732-390-7750
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Fax |
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Authorized Official
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Title or Position | CL VICE PRESIDENT
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Name | EILEEN PENG
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Credential |
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Telephone | 732-390-7750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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