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General NPI Number Information
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NPI Number | 1255166120
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Entity Type | Organization
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Legal Business Name | MOUNTAIN VIEW PAIN AND WELLNESS INC
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Dates
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Enumeration Date | 09/03/2024
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 4045 E UNION HILLS DR
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City | PHOENIX
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State | AZ
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Zip | 85050-3386
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Country | US
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Telephone | 602-767-0008
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Fax |
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Provider Business Mailing Address
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Address Line | 4045 E UNION HILLS DR
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City | PHOENIX
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State | AZ
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Zip | 85050-3386
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Country | US
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Telephone | 602-767-0008
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | RUCHIR GUPTA
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Credential | MD
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Telephone | 917-443-1263
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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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 | 207R00000X
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Taxonomy Name | Internal Medicine 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 | 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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Taxonomy #4
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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