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General NPI Number Information
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NPI Number | 1912835638
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Entity Type | Organization
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Legal Business Name | TITAN SAND PLUM HOLDINGS, LLC
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Dates
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Enumeration Date | 05/12/2026
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Last Update Date | 05/12/2026
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Provider Practice Location Address
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Address Line | 9999 E 121ST ST S
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City | BIXBY
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State | OK
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Zip | 74008-2551
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Country | US
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Telephone | 310-725-0120
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Fax |
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Provider Business Mailing Address
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Address Line | 840 APOLLO ST STE 100
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City | EL SEGUNDO
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State | CA
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Zip | 90245-4641
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | KEVIN KASEFF
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Credential |
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Telephone | 310-725-0120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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