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General NPI Number Information
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NPI Number | 1063614576
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Entity Type | Organization
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Legal Business Name | DR CATHIE H BUTTERWORTH
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Dates
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Enumeration Date | 06/05/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2330 PLANK RD
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-4902
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Country | US
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Telephone | 540-899-7791
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Fax | 540-899-8859
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Provider Business Mailing Address
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Address Line | 2330 PLANK RD
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-4902
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Country | US
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Telephone | 540-899-7791
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Fax | 540-899-8859
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Authorized Official
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Title or Position | BUSINESS SUPERVISOR
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Name | GWYN T MONROE
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Credential |
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Telephone | 540-899-7791
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 0401006575
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License Number State | VA
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