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General NPI Number Information
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NPI Number | 1487116968
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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 | 04/03/2019
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Last Update Date | 12/10/2019
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Provider Practice Location Address
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Address Line | 3711 ELMSLEY ST STE 101
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City | GREENSBORO
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State | NC
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Zip | 27406-7039
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Country | US
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Telephone | 336-890-2165
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Fax | 336-890-2166
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Provider Business Mailing Address
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Address Line | 3711 ELMSLEY ST STE 101
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City | GREENSBORO
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State | NC
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Zip | 27406-7039
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Country | US
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Telephone | 336-890-2165
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Fax | 336-890-2166
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR, OPERATIONS
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Name | SALLY 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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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