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General NPI Number Information
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NPI Number | 1598700874
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Entity Type | Organization
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Legal Business Name | PLATINUM DME, LLC
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Dates
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Enumeration Date | 06/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9330 AMBERTON PKWY STE. 1220
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City | DALLAS
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State | TX
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Zip | 75243-3278
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Country | US
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Telephone | 214-389-1907
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Fax | 214-389-1908
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Provider Business Mailing Address
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Address Line | 10449 E CLOVER LN
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City | FORNEY
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State | TX
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Zip | 75126-7915
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Country | US
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Telephone | 972-564-6511
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Fax |
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Authorized Official
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Title or Position | OWNER/MEMBER
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Name | SAMUEL N DIMSON
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Credential |
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Telephone | 214-213-3952
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 0086488
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License Number State | TX
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