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General NPI Number Information
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NPI Number | 1801917190
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Entity Type | Organization
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Legal Business Name | MOHORN, BELCHER & GOLLEHON, DDS. PA
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 04/07/2015
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Provider Practice Location Address
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Address Line | 2105 BRAXTON LANE SUITE 102
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City | GREENSBORO
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State | NC
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Zip | 27408
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Country | US
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Telephone | 336-273-1000
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Fax | 336-275-9919
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Provider Business Mailing Address
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Address Line | 2105 BRAXTON LANE SUITE 102
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City | GREENSBORO
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State | NC
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Zip | 27408
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Country | US
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Telephone | 336-273-1000
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Fax | 336-275-9919
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Authorized Official
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Title or Position | GROUP ADMINISTRATOR
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Name | MRS. TERESA BROOKSHIRE
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Credential |
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Telephone | 336-273-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State | NC
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