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General NPI Number Information
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NPI Number | 1669289856
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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 | 12/12/2024
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 1319 SPERO RD # 100-A
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City | ASHEBORO
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State | NC
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Zip | 27205-3144
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Country | US
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Telephone | 336-890-4950
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Fax |
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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 |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR, REIMBURSEMENT
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Name | DAVID LAWRENCE KITZMILLER
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Credential |
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Telephone | 336-832-7579
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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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 | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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