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General NPI Number Information
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NPI Number | 1316303076
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Entity Type | Organization
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Legal Business Name | BETHANY MEDICAL CENTER
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Dates
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Enumeration Date | 01/12/2016
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 3402 BATTLEGROUND AVE
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City | GREENSBORO
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State | NC
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Zip | 27410-2404
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Country | US
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Telephone | 336-883-0029
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Fax | 336-883-0867
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Provider Business Mailing Address
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Address Line | 507 N LINDSAY ST
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City | HIGH POINT
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State | NC
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Zip | 27262-4303
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Country | US
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Telephone | 336-883-0029
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Fax | 336-883-0867
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | LENIN PETERS
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Credential | M.D.
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Telephone | 336-883-0029
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 103837
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 36839
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 2013-01110
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 101104
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License Number State | NC
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Taxonomy #6
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 35265
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License Number State | NC
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Taxonomy #7
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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