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General NPI Number Information
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NPI Number | 1326234204
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Entity Type | Organization
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Legal Business Name | MOHS-TEK INC
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Dates
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Enumeration Date | 09/24/2007
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 1342 BELL AVE STE 3H
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City | TUSTIN
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State | CA
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Zip | 92780-6440
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Country | US
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Telephone | 949-551-6647
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Fax | 949-559-6647
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Provider Business Mailing Address
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Address Line | 11758 WILLARD AVE
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City | TUSTIN
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State | CA
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Zip | 92782-5102
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Country | US
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Telephone | 714-505-6647
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Fax | 949-653-0200
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Authorized Official
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Title or Position | PRESIDENT
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Name | SEEMA BHUTANI
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Credential |
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Telephone | 949-559-6647
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 99039304
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License Number State | CA
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