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General NPI Number Information
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NPI Number | 1114494119
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Entity Type | Organization
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Legal Business Name | MOHR HEALTH CARE SERVICES LLC
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Dates
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Enumeration Date | 10/28/2018
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Last Update Date | 07/27/2023
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Provider Practice Location Address
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Address Line | 12415 HOOVER AVE NW
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City | UNIONTOWN
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State | OH
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Zip | 44685-7378
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Country | US
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Telephone | 330-546-5015
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Fax |
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Provider Business Mailing Address
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Address Line | 12415 HOOVER AVE NW
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City | UNIONTOWN
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State | OH
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Zip | 44685-7378
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | VICKI MOHR
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Credential | NP-C
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Telephone | 330-546-5015
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SG0600X
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Taxonomy Name | Gerontology Clinical Nurse Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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