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General NPI Number Information
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NPI Number | 1124048616
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Entity Type | Organization
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Legal Business Name | BUTTE THERAPY SYSTEMS
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1050 N UNION ST
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City | STOCKTON
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State | CA
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Zip | 95205-4118
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Country | US
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Telephone | 209-465-0300
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Fax |
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Provider Business Mailing Address
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Address Line | 1050 N UNION ST
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City | STOCKTON
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State | CA
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Zip | 95205-4118
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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 | OWNER
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Name | CURTIS SAXTON
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Credential |
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Telephone | 209-465-0300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 103713
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License Number State | CA
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