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General NPI Number Information
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NPI Number | 1841298650
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Entity Type | Organization
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Legal Business Name | TITLEMAN ORTHOPEDIC
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Dates
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Enumeration Date | 07/14/2005
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Last Update Date | 12/12/2007
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Provider Practice Location Address
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Address Line | 336 LONEY ST
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City | PHILA
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State | PA
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Zip | 19111-2236
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Country | US
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Telephone | 215-722-0751
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Fax | 215-722-0752
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Provider Business Mailing Address
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Address Line | 336 LONEY ST
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City | PHILA
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State | PA
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Zip | 19111-2236
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Country | US
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Telephone | 215-722-0751
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Fax | 215-722-0752
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Authorized Official
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Title or Position | PRES.
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Name | MR. ALAN TITLEMAN
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Credential | CO,BOCO
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Telephone | 215-722-0751
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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