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General NPI Number Information
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NPI Number | 1437899895
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Entity Type | Organization
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Legal Business Name | VALLEY VIEW RESIDENTIAL, LLC
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Dates
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Enumeration Date | 03/31/2022
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Last Update Date | 03/31/2022
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Provider Practice Location Address
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Address Line | 2968 N VALLEY VIEW DR
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City | PRESCOTT VALLEY
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State | AZ
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Zip | 86314-2550
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Country | US
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Telephone | 928-478-1240
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Fax |
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Provider Business Mailing Address
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Address Line | 15029 N THOMPSON PEAK PKWY STE B111-438
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-2217
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Country | US
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Telephone | 623-239-8534
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MS. CINDY M BROWN
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Credential | FNP-C
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Telephone | 623-239-8534
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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