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General NPI Number Information
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NPI Number | 1780358556
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Entity Type | Organization
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Legal Business Name | PRESTIGIOUS THERAPY & WELLNESS LLC
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Dates
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Enumeration Date | 08/05/2021
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 777 E 25TH ST STE 306
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City | HIALEAH
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State | FL
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Zip | 33013-3849
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Country | US
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Telephone | 305-497-2473
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Fax | 213-426-8153
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Provider Business Mailing Address
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Address Line | 777 E 25TH ST STE 306
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City | HIALEAH
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State | FL
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Zip | 33013-3849
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Country | US
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Telephone | 305-497-2473
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Fax | 213-426-8153
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Authorized Official
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Title or Position | OWNER
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Name | JESENIA VALDES
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Credential |
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Telephone | 305-497-2473
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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