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General NPI Number Information
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NPI Number | 1821988965
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Entity Type | Organization
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Legal Business Name | TITANIUM CARE MANAGEMENT OF NEW YORK INC
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Dates
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Enumeration Date | 07/09/2025
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 12566 VALLEY VIEW ST
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City | GARDEN GROVE
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State | CA
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Zip | 92845-2006
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Country | US
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Telephone | 562-298-2502
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Fax | 714-373-4696
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Provider Business Mailing Address
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Address Line | 12566 VALLEY VIEW ST
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City | GARDEN GROVE
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State | CA
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Zip | 92845-2006
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Country | US
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Telephone | 562-298-2502
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Fax | 714-373-4696
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Authorized Official
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Title or Position | CEO
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Name | GRAY MILLER
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Credential |
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Telephone | 832-368-6461
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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