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General NPI Number Information
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NPI Number | 1346474103
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Entity Type | Organization
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Legal Business Name | MOSES CONE AFFILIATED PHYSICIANS, INC
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Dates
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Enumeration Date | 05/08/2009
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Last Update Date | 01/09/2020
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Provider Practice Location Address
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Address Line | 719 GREEN VALLEY RD STE 305
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City | GREENSBORO
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State | NC
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Zip | 27408-7026
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Country | US
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Telephone | 336-275-5391
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Fax | 336-275-4702
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Provider Business Mailing Address
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Address Line | 719 GREEN VALLEY RD STE 305
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City | GREENSBORO
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State | NC
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Zip | 27408-7026
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Country | US
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Telephone | 336-275-5391
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Fax | 336-275-4702
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR, CHMG 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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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