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NPI 1033766092

NPI 1033766092 : OSH-MI PHYSICIANS GROUP PC : GREENSBORO, NC

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General NPI Number Information
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    NPI Number           |    1033766092
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    Entity Type          |    Organization 
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    Legal Business Name  |    OSH-MI PHYSICIANS GROUP PC 
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Dates
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    Enumeration Date     |    08/23/2019
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    Last Update Date     |    10/13/2025
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Provider Practice Location Address
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    Address Line         |    1007 SUMMIT AVE 
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    City                 |    GREENSBORO
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    State                |    NC
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    Zip                  |    27405-7007
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    Country              |    US
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    Telephone            |    336-200-7010
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    Fax                  |    704-710-8592
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Provider Business Mailing Address
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    Address Line         |    PO BOX 746724 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30374-6724
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    Country              |    US
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    Telephone            |    773-352-1515
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    Fax                  |    312-929-0373
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Authorized Official
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    Title or Position    |    CMO
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    Name                 |    DR. TERRANCE  MORTON 
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    Credential           |    MD
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    Telephone            |    740-607-4835
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    363LA2200X
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    Taxonomy Name        |    Adult Health Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    261QP2300X
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    Taxonomy Name        |    Primary Care Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    207QG0300X
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    Taxonomy Name        |    Geriatric Medicine (Family Medicine) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    363LA2100X
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    Taxonomy Name        |    Acute Care Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #9
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    Taxonomy Code        |    2084P0805X
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    Taxonomy Name        |    Geriatric Psychiatry Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #10
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    Taxonomy Code        |    363LP2300X
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    Taxonomy Name        |    Primary Care Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #11
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    Taxonomy Code        |    363LG0600X
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    Taxonomy Name        |    Gerontology Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #12
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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Taxonomy #13
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #14
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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