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General NPI Number Information
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NPI Number | 1093731671
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Entity Type | Organization
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Legal Business Name | GUILFORD MEDICAL ASSOCIATES PA
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Dates
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Enumeration Date | 07/15/2006
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 2703 HENRY ST
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City | GREENSBORO
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State | NC
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Zip | 27405-3669
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Country | US
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Telephone | 336-621-8911
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Fax | 336-621-6322
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Provider Business Mailing Address
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Address Line | PO BOX 14944
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City | GREENSBORO
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State | NC
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Zip | 27415-4944
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Country | US
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Telephone | 336-621-8911
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Fax | 336-621-6322
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | KEVIN SIMON
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Credential |
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Telephone | 336-621-8911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 39624
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 39624
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License Number State | NC
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