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General NPI Number Information
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NPI Number | 1972437283
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Entity Type | Organization
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Legal Business Name | PRESTIGE REHAB NV LLC
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Dates
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Enumeration Date | 06/11/2026
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Last Update Date | 06/11/2026
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Provider Practice Location Address
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Address Line | 1555 W HORIZON RIDGE PKWY
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City | HENDERSON
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State | NV
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Zip | 89012-3491
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Country | US
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Telephone | 855-678-8887
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Fax | 855-678-8887
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Provider Business Mailing Address
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Address Line | 930 S 4TH ST STE 209
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City | LAS VEGAS
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State | NV
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Zip | 89101-6845
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Country | US
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Telephone | 855-678-8887
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Fax | 855-678-8887
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DANIEL REIZIS
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Credential | PT
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Telephone | 908-670-7573
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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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 | 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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