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General NPI Number Information
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NPI Number | 1245148204
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Entity Type | Individual
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Provider Name | VICTORIA BUTLER CSFA
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Gender | Female
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Dates
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Enumeration Date | 08/31/2026
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Last Update Date | 09/01/2026
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Provider Practice Location Address
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Address Line | 2500 FOUNDATION WAY
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City | MARTINSBURG
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State | WV
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Zip | 25401-9000
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Country | US
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Telephone | 304-901-7080
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Fax |
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Provider Business Mailing Address
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Address Line | 1130 MAIN ST
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City | EAST EARL
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State | PA
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Zip | 17519-9488
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Country | US
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Telephone | 304-701-7080
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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 | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number | 159535
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License Number State |
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