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General NPI Number Information
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NPI Number | 1831760271
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Entity Type | Organization
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Legal Business Name | PERFECT IMPERFECTIONS KY, LLC
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Dates
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Enumeration Date | 07/07/2021
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 1018 E NEW CIRCLE RD
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City | LEXINGTON
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State | KY
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Zip | 40505-4145
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Country | US
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Telephone | 859-368-0003
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Fax | 859-368-0027
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Provider Business Mailing Address
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Address Line | 1018 E NEW CIRCLE RD
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City | LEXINGTON
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State | KY
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Zip | 40505-4145
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Country | US
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Telephone | 859-368-0003
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CORITTA ROBERTS
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Credential |
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Telephone | 859-382-0203
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty 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 | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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