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General NPI Number Information
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NPI Number | 1922333947
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Entity Type | Organization
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Legal Business Name | HUMAN PERFORMING ENHANCEMENT, INC
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Dates
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Enumeration Date | 10/08/2009
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Last Update Date | 08/24/2016
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Provider Practice Location Address
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Address Line | 6200 WILSHIRE BLVD STE 800-805
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City | LOS ANGELES
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State | CA
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Zip | 90048-5801
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Country | US
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Telephone | 323-938-0511
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Fax | 866-277-7532
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Provider Business Mailing Address
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Address Line | 6200 WILSHIRE BLVD STE 800-805
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City | LOS ANGELES
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State | CA
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Zip | 90048-5801
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Country | US
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Telephone | 323-938-0511
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Fax | 866-277-7532
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. JACKIE BARTON
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Credential |
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Telephone | 323-938-0511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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