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General NPI Number Information
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NPI Number | 1164980546
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Entity Type | Organization
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Legal Business Name | MOSES CONE PHYSICIAN SERVICES, INC.
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Dates
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Enumeration Date | 03/05/2019
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 1041 KIRKPATRICK RD STE 150
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City | BURLINGTON
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State | NC
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Zip | 27215-8068
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Country | US
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Telephone | 336-538-1888
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Fax | 336-538-1313
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Provider Business Mailing Address
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Address Line | PO BOX 745040
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City | ATLANTA
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State | GA
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Zip | 30374-5040
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR, OPERATIONS
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Name | SALLY PATRICIA HAMMOND
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Credential |
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Telephone | 336-663-5007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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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 | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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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 | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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