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General NPI Number Information
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NPI Number | 1861222507
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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 | 08/06/2024
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 723 S VAN BUREN RD STE A1
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City | EDEN
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State | NC
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Zip | 27288-5417
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Country | US
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Telephone | 336-951-6910
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Fax |
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Provider Business Mailing Address
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Address Line | 4388 FEDERAL DR
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City | GREENSBORO
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State | NC
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Zip | 27410-8172
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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 | MANAGER COMMUNITY PHARMACY
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Name | ASHLEY EAST
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Credential |
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Telephone | 336-890-3050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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