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General NPI Number Information
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NPI Number | 1114388121
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Entity Type | Organization
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Legal Business Name | ERIC MOHR DMD, P.A.
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Dates
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Enumeration Date | 03/18/2016
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Last Update Date | 03/18/2016
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Provider Practice Location Address
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Address Line | 1901 N FEDERAL HWY UNIT 215
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City | POMPANO BEACH
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State | FL
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Zip | 33062-1000
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Country | US
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Telephone | 954-785-1102
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Fax | 954-785-1344
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Provider Business Mailing Address
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Address Line | 1901 N FEDERAL HWY UNIT 215
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City | POMPANO BEACH
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State | FL
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Zip | 33062-1000
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Country | US
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Telephone | 954-785-1102
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ERIC MOHR
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Credential | DMD
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Telephone | 954-882-8421
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN 15689
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License Number State | FL
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