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General NPI Number Information
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NPI Number | 1194130203
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Entity Type | Individual
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Provider Name | RHEA BUTCHEY O.D.
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Gender | Female
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Dates
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Enumeration Date | 06/26/2014
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Last Update Date | 08/23/2018
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Provider Practice Location Address
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Address Line | 2131 N FEDERAL HWY
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City | FORT LAUDERDALE
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State | FL
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Zip | 33305
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Country | US
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Telephone | 954-565-8274
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Fax | 954-565-8716
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Provider Business Mailing Address
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Address Line | 15800 SURREY CIR
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City | DAVIE
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State | FL
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Zip | 33331-2568
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Country | US
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Telephone | 954-260-8015
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | OPC4941
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License Number State | FL
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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 | OPC4941
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4941
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License Number State | FL
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