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General NPI Number Information
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NPI Number | 1235419938
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Entity Type | Organization
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Legal Business Name | PLATINUM HOSPICE AND PALLIATIVE CARE INC
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Dates
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Enumeration Date | 08/25/2011
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Last Update Date | 08/25/2011
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Provider Practice Location Address
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Address Line | 2430 ROCHESTER CT SUITE # 201
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City | TROY
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State | MI
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Zip | 48083-1860
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Country | US
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Telephone | 248-743-9606
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Fax | 888-709-2818
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Provider Business Mailing Address
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Address Line | 2430 ROCHESTER CT SUITE # 201
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City | TROY
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State | MI
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Zip | 48083-1860
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Country | US
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Telephone | 248-743-9606
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Fax | 888-709-2818
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Authorized Official
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Title or Position | PRESIDENT
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Name | IMRAN BUTT
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Credential |
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Telephone | 248-743-9606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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