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General NPI Number Information
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NPI Number | 1831687896
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Entity Type | Organization
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Legal Business Name | SN PLATINUM TRANSPORTATION INC.
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Dates
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Enumeration Date | 04/25/2018
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Last Update Date | 04/25/2018
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Provider Practice Location Address
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Address Line | 17700 SW 149TH PL
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City | MIAMI
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State | FL
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Zip | 33187-6815
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Country | US
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Telephone | 786-582-7986
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Fax |
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Provider Business Mailing Address
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Address Line | 17700 SW 149TH PL
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City | MIAMI
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State | FL
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Zip | 33187-6815
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Country | US
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Telephone | 786-582-7986
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Fax |
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Authorized Official
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Title or Position | TITLE S
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Name | GIAN VITERI
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Credential |
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Telephone | 786-582-7986
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | NE-45475
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License Number State | FL
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