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General NPI Number Information
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NPI Number | 1215085493
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Entity Type | Organization
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Legal Business Name | JONATHAN W BUTLER, MD, M.ED., PLLC
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Dates
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Enumeration Date | 01/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7980 COLEY DAVIS RD SUITE A
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City | NASHVILLE
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State | TN
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Zip | 37221-2397
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Country | US
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Telephone | 615-662-6220
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Fax | 615-662-6251
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Provider Business Mailing Address
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Address Line | 7980 COLEY DAVIS RD SUITE A
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City | NASHVILLE
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State | TN
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Zip | 37221-2397
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Country | US
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Telephone | 615-662-6220
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Fax | 615-662-6251
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. JONATHAN WILLIAM BUTLER
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Credential | MD
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Telephone | 615-662-6220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 26897
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License Number State | TN
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