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General NPI Number Information
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NPI Number | 1346466968
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Entity Type | Individual
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Provider Name | ANN SUSAN MOHLER MD
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Gender | Female
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 09/03/2014
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Provider Practice Location Address
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Address Line | 1601 YGNACIO VALLEY RD
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City | WALNUT CREEK
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State | CA
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Zip | 94598-3122
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Country | US
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Telephone | 925-634-9704
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Fax |
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Provider Business Mailing Address
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Address Line | 859 SUNNYHILLS RD
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City | OAKLAND
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State | CA
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Zip | 94610
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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 |
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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 | A60381
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License Number State | CA
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