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General NPI Number Information
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NPI Number | 1194506071
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Entity Type | Organization
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Legal Business Name | MEDICAL PRESTIGE SERVICES CORP
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Dates
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Enumeration Date | 10/09/2023
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Last Update Date | 08/28/2026
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Provider Practice Location Address
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Address Line | 2002 DEL PRADO BLVD S STE 103
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City | CAPE CORAL
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State | FL
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Zip | 33990-4557
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Country | US
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Telephone | 239-244-2022
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Fax | 239-402-2844
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Provider Business Mailing Address
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Address Line | 2002 DEL PRADO BLVD S STE 103
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City | CAPE CORAL
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State | FL
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Zip | 33990-4557
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Country | US
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Telephone | 239-244-2022
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Fax | 239-402-2844
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Authorized Official
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Title or Position | OWNER
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Name | YANET HERNANDEZ
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Credential |
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Telephone | 305-733-1450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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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 | 251B00000X
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Taxonomy Name | Case Management 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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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