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General NPI Number Information
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NPI Number | 1780015842
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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 | 11/27/2013
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 3605 PETERS CT
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City | HIGH POINT
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State | NC
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Zip | 27265-9004
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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 | CEO
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Name | DR. LENIN J 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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 2013-02261
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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