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General NPI Number Information
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NPI Number | 1851744627
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Entity Type | Organization
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Legal Business Name | MOSES CONE MEDICAL SERVICES, INC.
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Dates
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Enumeration Date | 07/18/2016
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Last Update Date | 01/22/2020
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Provider Practice Location Address
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Address Line | 1581 YANCEYVILLE ST
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City | GREENSBORO
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State | NC
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Zip | 27405-6958
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Country | US
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Telephone | 336-275-6445
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Fax | 336-275-3012
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Provider Business Mailing Address
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Address Line | 1581 YANCEYVILLE ST
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City | GREENSBORO
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State | NC
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Zip | 27405-6958
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Country | US
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Telephone | 336-275-6445
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Fax | 336-275-3012
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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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 | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | F06162611
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License Number State | NC
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