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General NPI Number Information
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NPI Number | 1154414019
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Entity Type | Individual
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Provider Name | JEFFREY M BUTCHER OD
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Gender | Male
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 2701 SW COLLEGE RD STE 105
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City | OCALA
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State | FL
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Zip | 34474-4436
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Country | US
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Telephone | 352-237-3798
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Fax | 352-723-0045
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Provider Business Mailing Address
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Address Line | 11668 BITOLA DR
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City | ODESSA
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State | FL
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Zip | 33556-3768
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Country | US
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Telephone | 656-241-1810
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Fax | 813-219-8111
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2059
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC5316
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License Number State | FL
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