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NPI 1992509707

NPI 1992509707 : DORINA LOUISE MOHITE LP : GREENSBORO, NC

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General NPI Number Information
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    NPI Number           |    1992509707
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    Entity Type          |    Individual 
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    Provider Name        |    DORINA LOUISE MOHITE LP
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/02/2025
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    Last Update Date     |    04/02/2025
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Provider Practice Location Address
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    Address Line         |    1451 S ELM EUGENE ST STE 3107 
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    City                 |    GREENSBORO
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    State                |    NC
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    Zip                  |    27406-2200
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    Country              |    US
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    Telephone            |    336-298-2323
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6405 HIGH VIEW RD 
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    City                 |    GREENSBORO
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    State                |    NC
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    Zip                  |    27410-8361
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    Country              |    US
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    Telephone            |    585-944-7460
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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        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    6766
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    License Number State |    NC
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