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General NPI Number Information
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NPI Number | 1710293774
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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 | 08/27/2010
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Last Update Date | 02/14/2011
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Provider Practice Location Address
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Address Line | 220 FOUST ST STE B
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City | ASHEBORO
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State | NC
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Zip | 27203-5586
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Country | US
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Telephone | 336-625-1950
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Fax | 336-625-0980
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Provider Business Mailing Address
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Address Line | 2706 SAINT JUDE ST
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City | GREENSBORO
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State | NC
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Zip | 27405-3670
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Country | US
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Telephone | 336-375-6990
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Fax | 336-375-0361
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Authorized Official
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Title or Position | CFO
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Name | MR. KENNETH K. BOGGS
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Credential |
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Telephone | 336-832-8005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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