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General NPI Number Information
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NPI Number | 1114720182
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Entity Type | Individual
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Provider Name | ANNE BARRET CAMPBELL BUTLER MPH RD LDN
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Gender | Female
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Dates
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Enumeration Date | 03/27/2025
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 1001 BLYTHE BLVD STE 200
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City | CHARLOTTE
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State | NC
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Zip | 28203-5865
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Country | US
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Telephone | 704-756-5280
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 BLYTHE BLVD STE 200
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City | CHARLOTTE
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State | NC
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Zip | 28203-5865
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Country | US
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Telephone | 704-756-5280
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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 | 133VN1004X
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Taxonomy Name | Pediatric Nutrition Registered Dietitian
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License Number | L001545
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License Number State | NC
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