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General NPI Number Information
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NPI Number | 1619767845
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Entity Type | Organization
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Legal Business Name | PLATINUM HOME & COMMUNITY MOBILITY CORP.
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Dates
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Enumeration Date | 05/09/2025
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 911 S 8TH ST UNIT E
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City | FERNANDINA BEACH
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State | FL
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Zip | 32034-3706
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Country | US
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Telephone | 904-261-2111
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Fax | 904-261-1163
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Provider Business Mailing Address
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Address Line | 15400 PEARL RD STE 207
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City | STRONGSVILLE
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State | OH
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Zip | 44136-6051
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Country | US
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Telephone | 440-557-6307
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Fax | 440-557-6370
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MARC ANTHONY VASIL
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Credential | MPT
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Telephone | 440-229-5822
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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 |
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License Number State |
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