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General NPI Number Information
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NPI Number | 1952455040
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Entity Type | Individual
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Provider Name | ROBERT JAMES MOHN SR. DDS
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Gender | Male
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3731 TIBBETTS ST SUITE 1
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City | RIVERSIDE
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State | CA
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Zip | 92506
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Country | US
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Telephone | 951-686-3368
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Fax | 951-686-8431
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Provider Business Mailing Address
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Address Line | 3731 TIBBETTS ST STE 1
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City | RIVERSIDE
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State | CA
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Zip | 92506
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Country | US
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Telephone | 951-686-3368
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Fax | 951-686-8431
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DB036986
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License Number State | CA
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