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General NPI Number Information
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NPI Number | 1043079015
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Entity Type | Organization
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Legal Business Name | MOUNTAIN VIEW MENTAL HEALTH AND PRIMARY CARE
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Dates
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Enumeration Date | 03/13/2024
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 1055 RUTH ST STE 1A
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City | PRESCOTT
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State | AZ
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Zip | 86301-1740
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Country | US
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Telephone | 928-515-2443
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Fax | 928-227-2496
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Provider Business Mailing Address
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Address Line | 1055 RUTH ST STE 1A
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City | PRESCOTT
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State | AZ
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Zip | 86301-1740
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Country | US
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Telephone | 602-697-9358
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHERI LEE LEDSOME
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Credential | NP
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Telephone | 928-515-2443
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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