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General NPI Number Information
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NPI Number | 1134857873
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Entity Type | Organization
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Legal Business Name | PHYSICAL PERFECTION, INCORPORATED
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Dates
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Enumeration Date | 08/10/2022
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Last Update Date | 09/20/2022
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Provider Practice Location Address
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Address Line | 1358 LEEGATE RD NW
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City | WASHINGTON
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State | DC
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Zip | 20012-1301
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Country | US
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Telephone | 202-730-9300
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Fax | 202-730-9301
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Provider Business Mailing Address
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Address Line | 1358 LEEGATE RD NW
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City | WASHINGTON
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State | DC
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Zip | 20012-1301
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Country | US
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Telephone | 202-730-9300
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Fax | 202-730-9301
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Authorized Official
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Title or Position | FOUNDER AND CHIEF EXECUTIVE OFFICER
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Name | MR. MICHAEL K BENNETT
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Credential | PFT, CPT, CAPT
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Telephone | 202-730-9300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QC1800X
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Taxonomy Name | Corporate Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 261QR0404X
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Taxonomy Name | Cardiac Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 261QR1100X
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Taxonomy Name | Research Clinic/Center
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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Taxonomy #12
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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Taxonomy #13
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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