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General NPI Number Information
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NPI Number | 1073774311
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Entity Type | Individual
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Provider Name | THOMAS E BUTLER II MD
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Gender | Male
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Dates
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Enumeration Date | 06/19/2008
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 1103 VILLAGE SQUARE DR STE 200
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City | PERRYSBURG
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State | OH
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Zip | 43551-1762
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Country | US
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Telephone | 419-251-8760
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Fax | 419-214-6888
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Provider Business Mailing Address
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Address Line | 1103 VILLAGE SQUARE DR STE 200
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City | PERRYSBURG
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State | OH
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Zip | 43551-1762
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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 |
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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 | 204F00000X
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Taxonomy Name | Transplant Surgery Physician
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License Number | A115479
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 204F00000X
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Taxonomy Name | Transplant Surgery Physician
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License Number | MD466378
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | A115479
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 35.152326
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 204F00000X
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Taxonomy Name | Transplant Surgery Physician
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License Number | 35.152326
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License Number State | OH
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