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General NPI Number Information
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NPI Number | 1841341971
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Entity Type | Individual
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Provider Name | TERRY WALTER MOHR OD
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Gender | Male
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 03/02/2020
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Provider Practice Location Address
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Address Line | 344 S MAIN ST
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City | HIAWASSEE
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State | GA
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Zip | 30546-3470
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Country | US
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Telephone | 407-924-9373
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Fax |
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Provider Business Mailing Address
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Address Line | 344 S MAIN ST
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City | HIAWASSEE
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State | GA
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Zip | 30546-3470
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Country | US
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Telephone | 407-924-9373
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC 1949
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT003218
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1160
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License Number State | NC
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