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General NPI Number Information
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NPI Number | 1730964172
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Entity Type | Organization
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Legal Business Name | MOYA MENTAL HEALTH SERVICES PLLC
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Dates
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Enumeration Date | 08/25/2023
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Last Update Date | 01/21/2024
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Provider Practice Location Address
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Address Line | 2501 N HAYDEN RD STE 103
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City | SCOTTSDALE
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State | AZ
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Zip | 85257-2326
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Country | US
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Telephone | 980-335-8094
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 44854
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City | PHOENIX
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State | AZ
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Zip | 85064-4854
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Country | US
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Telephone | 980-335-8094
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH PROVIDER/OWNER
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Name | MRS. NYANYIWA VIMBA
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Credential | PMHNP
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Telephone | 480-810-3009
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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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