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General NPI Number Information
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NPI Number | 1336764497
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Entity Type | Organization
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Legal Business Name | PLATINUM HOME CARE SERVICES LLC
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Dates
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Enumeration Date | 06/14/2020
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Last Update Date | 01/18/2023
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Provider Practice Location Address
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Address Line | 5631 GATLIN AVE APT D
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City | ORLANDO
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State | FL
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Zip | 32812-7746
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Country | US
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Telephone | 77-239-3414
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 PEMBROOK DR STE 300
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City | ORLANDO
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State | FL
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Zip | 32810-6378
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Country | US
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Telephone | 407-723-9341
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. LISA JONES
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Credential |
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Telephone | 407-723-9341
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 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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