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General NPI Number Information
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NPI Number | 1548473648
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Entity Type | Organization
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Legal Business Name | JOHN L. MOHNEY, D.O.
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 02/03/2011
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Provider Practice Location Address
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Address Line | 2304 FULTON ST
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City | HOUSTON
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State | TX
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Zip | 77009-7836
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Country | US
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Telephone | 713-228-4505
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Fax | 713-228-3007
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Provider Business Mailing Address
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Address Line | 2304 FULTON ST
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City | HOUSTON
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State | TX
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Zip | 77009-7836
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Country | US
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Telephone | 713-228-4505
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Fax | 713-228-3007
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. JOHN LEROY MOHNEY
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Credential | D.O.
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Telephone | 713-228-4505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | D6502
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License Number State | TX
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