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General NPI Number Information
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NPI Number | 1134475049
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Entity Type | Individual
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Provider Name | CHRISTINE BUTLER
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Gender | Female
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Dates
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Enumeration Date | 07/28/2012
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Last Update Date | 08/22/2015
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Provider Practice Location Address
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Address Line | 80 CONTINENTAL DR STE 101
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City | RENO
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State | NV
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Zip | 89509-3440
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Country | US
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Telephone | 775-830-5310
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Fax |
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Provider Business Mailing Address
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Address Line | 7179 RUTHERFORD DR
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City | RENO
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State | NV
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Zip | 89506-5709
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | CP0104
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 00348-LC
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License Number State | NV
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