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General NPI Number Information
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NPI Number | 1942331871
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Entity Type | Organization
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Legal Business Name | A T PLATINUM CORPORATION
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | URB. SANTA CRUZ D-9 CALLE 1
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City | BAYAMON
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State | PR
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Zip | 00961
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Country | US
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Telephone | 787-779-7171
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Fax | 787-785-6800
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Provider Business Mailing Address
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Address Line | URB. SANTA CRUZ D-9 CALLE 1
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City | BAYAMON
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State | PR
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Zip | 00961
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Country | US
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Telephone | 787-779-7171
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Fax | 787-785-6800
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAIME TOMAS CASTRO
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Credential | DMD
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Telephone | 787-779-7171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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