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General NPI Number Information
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NPI Number | 1912790304
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Entity Type | Individual
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Provider Name | MONEA CONNOR
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Gender | Female
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 5202 W MARKET ST
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City | GREENSBORO
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State | NC
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Zip | 27409-2616
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Country | US
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Telephone | 336-317-8776
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Fax | 855-643-2547
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Provider Business Mailing Address
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Address Line | 1234 S EUGENE ST APT 3F
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City | GREENSBORO
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State | NC
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Zip | 27406-1346
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Country | US
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Telephone | 336-608-2801
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Fax |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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