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General NPI Number Information
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NPI Number | 1013723014
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Entity Type | Organization
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Legal Business Name | PLATINUM HOME HEALTHCARE
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Dates
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Enumeration Date | 12/05/2024
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 436 CREST HILL AVE
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City | VANDALIA
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State | OH
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Zip | 45377-1557
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Country | US
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Telephone | 937-479-8449
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Fax |
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Provider Business Mailing Address
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Address Line | 436 CREST HILL AVE
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City | VANDALIA
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State | OH
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Zip | 45377-1557
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Country | US
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Telephone | 937-479-8449
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | GERARD NJUMASHUA
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Credential |
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Telephone | 937-479-8449
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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