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General NPI Number Information
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NPI Number | 1013016781
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Entity Type | Individual
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Provider Name | THOMAS PAUL MOHR M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 05/10/2017
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Provider Practice Location Address
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Address Line | 1285 S STATE ST
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City | HEMET
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State | CA
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Zip | 92543-7976
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Country | US
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Telephone | 951-765-1777
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Fax | 951-765-1772
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Provider Business Mailing Address
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Address Line | 27699 JEFFERSON AVE SUITE 300
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City | TEMECULA
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State | CA
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Zip | 92590-2661
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Country | US
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Telephone | 951-252-8588
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Fax | 951-252-8589
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | G61668
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License Number State | CA
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