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General NPI Number Information
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NPI Number | 1760362495
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Entity Type | Organization
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Legal Business Name | ARISE MENTAL HEALTH
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Dates
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Enumeration Date | 09/04/2025
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Last Update Date | 01/25/2026
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Provider Practice Location Address
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Address Line | 1300 S LITCHFIELD RD
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City | GOODYEAR
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State | AZ
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Zip | 85338-1513
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Country | US
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Telephone | 623-253-5553
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Fax | 623-250-0600
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Provider Business Mailing Address
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Address Line | 15928 W CAMDEN AVE
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City | WADDELL
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State | AZ
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Zip | 85355-1209
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Country | US
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Telephone | 623-253-5553
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Fax | 623-250-0600
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Authorized Official
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Title or Position | DNP
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Name | VICTOR D MOGA
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Credential | PMHNP-BC
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Telephone | 602-620-0704
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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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