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General NPI Number Information
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NPI Number | 1427775469
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Entity Type | Individual
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Provider Name | MARGARET MAE MOHR
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Gender | Female
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Dates
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Enumeration Date | 10/20/2022
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 1530 GREENVIEW DR SW STE 117
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City | ROCHESTER
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State | MN
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Zip | 55902-1080
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Country | US
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Telephone | 563-513-1793
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Fax |
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Provider Business Mailing Address
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Address Line | 2575 BLUEBIRD LN
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City | WINSTON SALEM
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State | NC
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Zip | 27106-2299
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Country | US
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Telephone | 563-513-1793
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 12534A
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License Number State | NC
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