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General NPI Number Information
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NPI Number | 1629355805
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Entity Type | Organization
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Legal Business Name | TITAN MEDICAL OF FLORDIA
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Dates
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Enumeration Date | 11/15/2011
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Last Update Date | 11/15/2011
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Provider Practice Location Address
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Address Line | 301 W PLATT ST SUITE 390
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City | TAMPA
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State | FL
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Zip | 33606-2292
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Country | US
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Telephone | 404-309-8449
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Fax | 678-284-6500
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Provider Business Mailing Address
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Address Line | 301 W PLATT ST SUITE 390
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City | TAMPA
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State | FL
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Zip | 33606-2292
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Country | US
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Telephone | 404-309-8449
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Fax | 678-284-6500
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Authorized Official
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Title or Position | CREDENTIALING
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Name | CYNTHIA TATE
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Credential |
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Telephone | 404-309-8449
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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