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General NPI Number Information
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NPI Number | 1184800344
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Entity Type | Individual
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Provider Name | DANIELLE ARI BUTLER MD
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Gender | Female
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Dates
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Enumeration Date | 01/17/2008
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Last Update Date | 12/05/2022
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Provider Practice Location Address
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Address Line | 800 HADDONFIELD RD
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City | CHERRY HILL
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State | NJ
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Zip | 08002-2604
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Country | US
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Telephone | 856-663-7690
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Fax | 856-763-9269
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Provider Business Mailing Address
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Address Line | 22 ADAMS LN
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City | HAINESPORT
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State | NJ
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Zip | 08036-2600
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Country | US
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Telephone | 973-698-9379
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 046822
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD475399
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MA10199300
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License Number State | NJ
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