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NPI 1730049321

NPI 1730049321 : MOUNTAIN VIEW GROUP HOME : SURPRISE, AZ

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General NPI Number Information
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    NPI Number           |    1730049321
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    Entity Type          |    Organization 
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    Legal Business Name  |    MOUNTAIN VIEW GROUP HOME 
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Dates
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    Enumeration Date     |    11/14/2025
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    Last Update Date     |    11/14/2025
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Provider Practice Location Address
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    Address Line         |    13445 W YOUNG ST 
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    City                 |    SURPRISE
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    State                |    AZ
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    Zip                  |    85374-5418
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    Country              |    US
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    Telephone            |    602-554-4897
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    Fax                  |    602-554-4897
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Provider Business Mailing Address
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    Address Line         |    13445 W YOUNG ST 
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    City                 |    SURPRISE
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    State                |    AZ
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    Zip                  |    85374-5418
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    Country              |    US
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    Telephone            |    602-554-4897
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    Fax                  |    602-554-4897
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     YELENA  FRANKLIN 
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    Credential           |    MA, BHT
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    Telephone            |    602-554-4897
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    174200000X
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    Taxonomy Name        |    Meals Provider
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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        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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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        |    261QM0855X
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    Taxonomy Name        |    Adolescent and Children Mental Health Clinic/Center
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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        |    261QS1000X
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    Taxonomy Name        |    Student Health Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    343800000X
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    Taxonomy Name        |    Secured Medical Transport (VAN)
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    261Q00000X
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    Taxonomy Name        |    Clinic/Center
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    License Number       |    
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    License Number State |    
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