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General NPI Number Information
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NPI Number | 1609162098
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Entity Type | Organization
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Legal Business Name | NORTH CAROLINA BAPTIST HOSPITAL
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Dates
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Enumeration Date | 06/23/2011
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | MEDICAL CENTER BLVD
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City | WINSTON SALEM
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State | NC
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Zip | 27157-0001
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Country | US
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Telephone | 336-716-2669
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Fax | 336-716-6359
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Provider Business Mailing Address
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Address Line | MEDICAL CENTER BLVD
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City | WINSTON SALEM
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State | NC
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Zip | 27157-0001
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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 | PRESIDENT
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Name | CATHLEEN WHEATLEY
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Credential | DNP
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Telephone | 336-713-4944
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 3400664386
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License Number State | NC
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