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General NPI Number Information
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NPI Number | 1124820063
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Entity Type | Individual
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Provider Name | HEATHER R BUTLER LMSW
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Gender | Female
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Dates
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Enumeration Date | 03/24/2025
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 3606 W ANDREW JOHNSON HWY STE 19&20
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City | MORRISTOWN
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State | TN
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Zip | 37814-3603
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Country | US
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Telephone | 865-378-6929
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Fax |
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Provider Business Mailing Address
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Address Line | 162 SMITH RD
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City | CORRYTON
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State | TN
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Zip | 37721-5118
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Country | US
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Telephone | 757-350-0972
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 15791
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License Number State | TN
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