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General NPI Number Information
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NPI Number | 1639977846
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Entity Type | Organization
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Legal Business Name | MOUNTAIN VIEW PSYCHIATRY, LLC
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Dates
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Enumeration Date | 03/04/2025
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 90 GROVE ST STE 206
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City | RIDGEFIELD
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State | CT
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Zip | 06877-4130
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Country | US
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Telephone | 203-604-6052
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Fax | 949-404-6342
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Provider Business Mailing Address
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Address Line | 90 GROVE ST STE 206
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City | RIDGEFIELD
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State | CT
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Zip | 06877-4130
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Country | US
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Telephone | 203-604-6052
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Fax |
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Authorized Official
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Title or Position | PSYCH NURSE PRACTITIONER/OWNER
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Name | JOHN DEBISCEGLIE
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Credential | APRN, PMHNP-BC
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Telephone | 203-604-6052
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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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