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General NPI Number Information
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NPI Number | 1093230484
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Entity Type | Individual
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Provider Name | HERBERT WAYNE BUTTERBAUGH PHARM D.
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Gender | Male
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Dates
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Enumeration Date | 08/07/2017
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Last Update Date | 04/28/2023
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Provider Practice Location Address
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Address Line | 1805 27TH ST
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City | PORTSMOUTH
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State | OH
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Zip | 45662-2640
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Country | US
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Telephone | 740-356-6853
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Fax |
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Provider Business Mailing Address
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Address Line | 1755 KEVIN ST
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City | IRONTON
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State | OH
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Zip | 45638-1115
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Country | US
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Telephone | 740-442-1432
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH.03237348-2
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License Number State | OH
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