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General NPI Number Information
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NPI Number | 1407966864
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Entity Type | Organization
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Legal Business Name | THE MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 618 S MAIN ST
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City | REIDSVILLE
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State | NC
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Zip | 27320-5020
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Country | US
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Telephone | 336-951-6006
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Fax | 336-951-6033
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Provider Business Mailing Address
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Address Line | 1200 N ELM ST
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City | GREENSBORO
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State | NC
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Zip | 27401-1004
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Country | US
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Telephone | 336-832-7695
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Fax | 336-832-6941
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Authorized Official
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Title or Position | CFO/TREASURER
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Name | MRS. ELIZABETH SUTHERLAND WARD
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Credential |
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Telephone | 336-832-7791
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | NH0614
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License Number State | NC
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