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General NPI Number Information
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NPI Number | 1912655325
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Entity Type | Organization
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Legal Business Name | TITAN PROSTHETICS INC
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Dates
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Enumeration Date | 03/15/2022
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Last Update Date | 03/15/2022
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Provider Practice Location Address
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Address Line | 211 STATE ST
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City | MCCOMB
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State | MS
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Zip | 39648-3938
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Country | US
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Telephone | 888-482-6534
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Fax | 888-482-6534
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Provider Business Mailing Address
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Address Line | 600 LEMENS AVE STE 700
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City | HUTTO
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State | TX
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Zip | 78634-3484
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Country | US
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Telephone | 512-925-6556
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Fax | 888-482-6534
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Authorized Official
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Title or Position | CFO
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Name | DREW CHANDLER HENNIG
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Credential |
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Telephone | 888-482-6534
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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