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General NPI Number Information
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NPI Number | 1962484071
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Entity Type | Organization
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Legal Business Name | PLATINUM HHS CARE INCORORATED
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Dates
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Enumeration Date | 11/15/2005
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Last Update Date | 02/27/2014
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Provider Practice Location Address
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Address Line | 1415 NORTH LOOP W SUITE 122
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City | HOUSTON
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State | TX
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Zip | 77008-1664
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Country | US
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Telephone | 713-552-1159
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Fax | 713-552-1169
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Provider Business Mailing Address
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Address Line | 1415 NORTH LOOP W SUITE 122
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City | HOUSTON
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State | TX
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Zip | 77008-1664
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Country | US
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Telephone | 713-552-1159
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Fax | 713-552-1169
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. CHRISTIAN JANE
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Credential |
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Telephone | 713-552-1159
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 009417
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License Number State | TX
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