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General NPI Number Information
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NPI Number | 1750168795
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Entity Type | Organization
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Legal Business Name | VESSEL PERFORMANCE, LLC
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Dates
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Enumeration Date | 09/13/2023
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Last Update Date | 09/13/2023
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Provider Practice Location Address
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Address Line | 2009 1/2 N VERMONT AVE
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City | LOS ANGELES
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State | CA
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Zip | 90027-1931
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Country | US
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Telephone | 404-769-3525
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Fax |
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Provider Business Mailing Address
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Address Line | 4100 HIGHLAND AVE UNIT A
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City | MANHATTAN BEACH
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State | CA
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Zip | 90266-3030
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Country | US
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Telephone | 949-606-3240
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | AMY SCHULTZ
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Credential | PT, DPT, SCS, CSCS
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Telephone | 949-606-3240
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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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