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General NPI Number Information
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NPI Number | 1154588036
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Entity Type | Organization
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Legal Business Name | COLEY COSMETIC & HAND SURGERY CENTER, PA
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Dates
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Enumeration Date | 05/19/2008
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 3625 N ELM ST STE 120
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City | GREENSBORO
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State | NC
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Zip | 27455-2696
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Country | US
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Telephone | 336-288-7676
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Fax |
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Provider Business Mailing Address
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Address Line | 3625 N ELM ST STE 120
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City | GREENSBORO
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State | NC
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Zip | 27455-2696
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Country | US
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Telephone | 336-617-8645
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Fax | 336-617-8646
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. HARRILL CHRISTOPHER COLEY
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Credential | MD
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Telephone | 336-617-8645
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 2008-00266
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2086S0105X
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Taxonomy Name | Surgery of the Hand (Surgery) Physician
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License Number |
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License Number State |
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