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General NPI Number Information
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NPI Number | 1962746370
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Entity Type | Organization
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Legal Business Name | MOUNTAIN VIEW PSYCHOLOGY, LLC
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Dates
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Enumeration Date | 11/26/2012
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Last Update Date | 11/26/2012
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Provider Practice Location Address
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Address Line | 328 NEFF AVE
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City | HARRISONBURG
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State | VA
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Zip | 22801-3429
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Country | US
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Telephone | 540-433-2858
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Fax | 540-433-1175
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Provider Business Mailing Address
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Address Line | 328 NEFF AVE
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City | HARRISONBURG
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State | VA
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Zip | 22801-3429
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Country | US
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Telephone | 540-433-2858
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Fax | 540-433-1175
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | JESS GALLARO
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Credential |
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Telephone | 540-433-2858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0810004423
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0810004403
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License Number State | VA
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