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General NPI Number Information
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NPI Number | 1952614620
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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 | 07/22/2010
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 2001 N CHURCH ST
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City | GREENSBORO
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State | NC
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Zip | 27405-5633
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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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Provider Business Mailing Address
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Address Line | PO BOX 745032
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City | ATLANTA
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State | GA
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Zip | 30374-5032
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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 | DIRECTOR, OPERATIONS
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Name | JARED COOPER
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Credential |
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Telephone | 336-663-5044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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