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General NPI Number Information
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NPI Number | 1710753108
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Entity Type | Organization
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Legal Business Name | 3TITAN MEDICAL INC
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Dates
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Enumeration Date | 11/28/2023
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Last Update Date | 11/28/2023
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Provider Practice Location Address
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Address Line | 22032 EL PASEO STE 130
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City | RANCHO SANTA MARGARITA
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State | CA
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Zip | 92688-3947
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Country | US
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Telephone | 909-729-5079
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Fax | 909-729-5081
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Provider Business Mailing Address
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Address Line | 1749 N GAREY AVE
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City | POMONA
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State | CA
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Zip | 91767-2913
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Country | US
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Telephone | 909-729-5079
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. CAN MUSTAFA TAMKOC
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Credential | MD
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Telephone | 702-540-3495
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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