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General NPI Number Information
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NPI Number | 1255201182
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Entity Type | Individual
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Provider Name | ASHLEY GOINS BETHEL
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Gender | Female
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Dates
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Enumeration Date | 11/06/2025
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 2001 N CHURCH ST STE 201
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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 | 800-809-1265
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Fax |
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Provider Business Mailing Address
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Address Line | 1006 CANONERO DR
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City | GREENSBORO
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State | NC
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Zip | 27410-3804
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Country | US
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Telephone | 336-254-0303
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5023446
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License Number State | NC
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