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General NPI Number Information
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NPI Number | 1205800463
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Entity Type | Individual
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Provider Name | PETER L MOHRER M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/15/2006
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Last Update Date | 10/27/2015
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Provider Practice Location Address
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Address Line | 5 DURHAM RD B5
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City | GUILFORD
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State | CT
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Zip | 06437-2076
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Country | US
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Telephone | 203-453-4870
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Fax |
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Provider Business Mailing Address
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Address Line | 5 DURHAM RD SUITE B5
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City | GUILFORD
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State | CT
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Zip | 06437-2076
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Country | US
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Telephone | 203-453-4870
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Fax |
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 028276
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 028276
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License Number State | CT
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