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General NPI Number Information
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NPI Number | 1710032727
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Entity Type | Organization
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Legal Business Name | PLATINUM HEALTHCARE LLC
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 4515 S MCCLINTOCK DR SUITE 208
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City | TEMPE
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State | AZ
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Zip | 85282-7376
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Country | US
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Telephone | 480-777-7075
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Fax | 480-777-7119
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Provider Business Mailing Address
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Address Line | 4515 S MCCLINTOCK DR SUITE 208
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City | TEMPE
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State | AZ
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Zip | 85282-7376
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Country | US
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Telephone | 480-777-7075
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Fax | 480-777-7119
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DANIEL V WILLIAMS
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Credential | PT
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Telephone | 480-777-7075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 4120
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 2796
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License Number State | AZ
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