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General NPI Number Information
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NPI Number | 1285018986
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Entity Type | Organization
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Legal Business Name | PLATINUM HEALTH CENTER
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Dates
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Enumeration Date | 07/13/2015
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Last Update Date | 06/08/2018
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Provider Practice Location Address
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Address Line | 1125 E 17TH ST STE E101
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City | SANTA ANA
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State | CA
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Zip | 92701
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Country | US
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Telephone | 714-543-3500
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Fax | 866-379-7438
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Provider Business Mailing Address
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Address Line | 245 E OLIVE AVE FL 4
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City | BURBANK
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State | CA
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Zip | 91502-1223
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Country | US
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Telephone | 714-543-3500
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Fax | 866-379-7438
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Authorized Official
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Title or Position | OWNER
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Name | MR. DONENIC SIGNORELLI
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Credential | DPM
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Telephone | 714-543-3500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | E4065
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License Number State | CA
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