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General NPI Number Information
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NPI Number | 1043763741
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Entity Type | Individual
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Provider Name | KARYN GERALYN BUTLER FPMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/28/2016
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 2111 UNIVERSITY PARK DR STE 400
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City | OKEMOS
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State | MI
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Zip | 48864-6907
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Country | US
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Telephone | 517-258-0180
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Fax | 517-299-1029
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Provider Business Mailing Address
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Address Line | 5351 W COLUMBIA RD
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City | MASON
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State | MI
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Zip | 48854-9512
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Country | US
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Telephone | 734-231-0933
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Fax | 517-299-1029
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 4704199004
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License Number State | MI
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