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General NPI Number Information
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NPI Number | 1922190669
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Entity Type | Organization
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Legal Business Name | DENNIS P. MOHNEY
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 10/08/2012
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Provider Practice Location Address
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Address Line | 15175 EAGLE NEST LN SUITE # 107
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2244
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Country | US
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Telephone | 305-558-3611
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Fax |
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Provider Business Mailing Address
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Address Line | 15175 EAGLE NEST LN SUITE # 107
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2244
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Country | US
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Telephone | 305-558-3611
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. DENNIS P MOHNEY
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Credential | DDS
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Telephone | 305-558-3611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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