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General NPI Number Information
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NPI Number | 1497376156
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Entity Type | Organization
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Legal Business Name | PERFORMANCE MASTERY CONSULTING, INC.
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Dates
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Enumeration Date | 05/04/2020
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Last Update Date | 05/08/2020
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Provider Practice Location Address
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Address Line | 3711 W 145TH ST
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City | HAWTHORNE
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State | CA
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Zip | 90250-8452
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Country | US
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Telephone | 310-910-4347
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Fax | 212-500-7992
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Provider Business Mailing Address
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Address Line | 3711 W 145TH ST
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City | HAWTHORNE
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State | CA
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Zip | 90250-8452
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Country | US
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Telephone | 310-910-4347
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Fax |
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Authorized Official
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Title or Position | COO
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Name | PEGGY SUSAN POSTNIKOFF
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Credential | B.S.P.E.
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Telephone | 310-910-4347
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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