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General NPI Number Information
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NPI Number | 1881979698
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Entity Type | Organization
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Legal Business Name | FISHER TITUS MEDICAL CENTER
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Dates
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Enumeration Date | 10/13/2011
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Last Update Date | 10/13/2011
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Provider Practice Location Address
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Address Line | 272 BENEDICT AVENUE PHYSICAL THERAPY DEPT
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City | NORWALK
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State | OH
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Zip | 44847-2374
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Country | US
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Telephone | 419-668-8101
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Fax | 419-660-2963
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Provider Business Mailing Address
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Address Line | 272 BENEDICT AVENUE
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City | NORWALK
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State | OH
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Zip | 44847-2374
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Country | US
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Telephone | 419-668-8101
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Fax | 419-660-2963
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. PATRICK MARTIN
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Credential |
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Telephone | 419-668-8101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | AT-1707
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License Number State | OH
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