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General NPI Number Information
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NPI Number | 1720296627
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Entity Type | Individual
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Provider Name | JENNIFER E MCCORD MD
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Gender | Female
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 07/21/2015
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Provider Practice Location Address
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Address Line | 4 ROCKPORT CT
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City | GREENSBORO
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State | NC
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Zip | 27406-8773
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Country | US
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Telephone | 336-756-6239
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 DOCTORS DR
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City | SANFORD
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State | NC
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Zip | 27330-5067
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Country | US
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Telephone | 919-774-7117
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Fax | 919-776-6715
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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 | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number | 2007-01440
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 2007-01440
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License Number State | NC
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