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General NPI Number Information
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NPI Number | 1174673487
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Entity Type | Organization
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Legal Business Name | BUTLER HEALTH ASSOCIATES, INC.
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 04/20/2009
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Provider Practice Location Address
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Address Line | 436 RAY NORRISH DRIVE
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City | CINCINNATI
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State | OH
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Zip | 45246
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Country | US
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Telephone | 541-367-1585
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Fax | 513-346-7456
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Provider Business Mailing Address
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Address Line | 436 RAY NORRISH DRIVE
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City | CINCINNATI
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State | OH
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Zip | 45246
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Country | US
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Telephone | 541-367-1585
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Fax | 513-346-7456
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Authorized Official
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Title or Position | M.D.
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Name | DR. MAMTA MANGAL
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Credential | M.D.
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Telephone | 513-671-5858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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