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General NPI Number Information
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NPI Number | 1225792807
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Entity Type | Individual
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Provider Name | MEGHAN CATHERINE BUTLER PH.D.
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Gender | Female
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Dates
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Enumeration Date | 10/28/2021
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Last Update Date | 06/26/2022
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Provider Practice Location Address
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Address Line | 2520 MIDWAY RD BLDG 1618
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City | VIRGINIA BEACH
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State | VA
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Zip | 23459-9305
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Country | US
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Telephone | 757-613-3277
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Fax |
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Provider Business Mailing Address
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Address Line | 9611 NANSEMOND BAY ST APT 205
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City | NORFOLK
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State | VA
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Zip | 23518-6022
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Country | US
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Telephone | 313-303-0994
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | PY10233
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License Number State | FL
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