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General NPI Number Information
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NPI Number | 1689150799
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Entity Type | Organization
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Legal Business Name | PRESTIGE ADULT CENTER
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Dates
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Enumeration Date | 07/12/2018
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 866 E JERICHO TPKE
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City | HUNTINGTON STATION
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State | NY
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Zip | 11746-7505
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Country | US
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Telephone | 631-923-2262
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Fax | 888-214-4343
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Provider Business Mailing Address
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Address Line | 866 E JERICHO TPKE
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City | HUNTINGTON STATION
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State | NY
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Zip | 11746-7505
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Country | US
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Telephone | 631-923-2262
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Fax | 888-214-4343
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Authorized Official
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Title or Position | CEO/OWNER
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Name | ORLETTE MILLER
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Credential |
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Telephone | 631-424-0510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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