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General NPI Number Information
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NPI Number | 1396112058
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Entity Type | Organization
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Legal Business Name | MOUNTAIN VIEW PSYCHIATRY AND TMS
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Dates
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Enumeration Date | 08/28/2015
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Last Update Date | 03/28/2024
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Provider Practice Location Address
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Address Line | 2500 HOSPITAL DR STE 3A
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-4109
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Country | US
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Telephone | 650-696-6772
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 HOSPITAL DR STE 3A
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-4109
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Country | US
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Telephone | 650-696-6772
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. ZAHIDA TAYYIB
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Credential | M.D.
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Telephone | 650-468-1139
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | C50631
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | C50631
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License Number State | CA
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