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Dr. Juan C Beteta

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NPI Number Detailed Information

Provider Information:

Name: Dr. Juan C Beteta
Gender: M
Provider License Number If Given: 2009-01512

NPI Information:

NPI: 1417942947
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 3/17/2018

Provider Business Mailing Address:

Address: 2501 S MEBANE ST
Burlington, NC 27215
Phone Number: (336) 228-7337
Fax Number: 3362220293

Provider Business Practice Location Address:

Address: 2501 S MEBANE ST
Burlington, NC 27215
Phone Number: 3362287337
Fax Number: 3362220293

Provider Taxonomy:

Primary: 208000000X
Secondary (if any): 208000000X
State: NC

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