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General NPI Number Information
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NPI Number | 1447049473
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Entity Type | Individual
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Provider Name | MOLLY GALLIMORE RN
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Gender | Female
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Dates
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Enumeration Date | 05/05/2025
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Last Update Date | 08/14/2026
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Provider Practice Location Address
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Address Line | 1220 MAGNOLIA ST
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City | GREENSBORO
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State | NC
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Zip | 27401-1309
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Country | US
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Telephone | 336-938-0800
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Fax | 336-938-0755
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Provider Business Mailing Address
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Address Line | 4145 KEEPEE TRL
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City | BURLINGTON
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State | NC
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Zip | 27215-8962
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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 |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5024623
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 243763
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License Number State | NC
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