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General NPI Number Information
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NPI Number | 1245782390
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Entity Type | Individual
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Provider Name | AMIE MICHELLE BUTLER APRN
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Gender | Female
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Dates
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Enumeration Date | 10/25/2016
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Last Update Date | 10/11/2023
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Provider Practice Location Address
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Address Line | 522 W RIVERSIDE AVE # 5295
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City | SPOKANE
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State | WA
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Zip | 99201-0580
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Country | US
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Telephone | 360-200-0516
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Fax | 855-551-4095
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Provider Business Mailing Address
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Address Line | 522 W RIVERSIDE AVE # 5295
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City | SPOKANE
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State | WA
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Zip | 99201-0580
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Country | US
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Telephone | 360-200-0516
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Fax | 855-551-4095
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP 9378924
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 202114868NP-PP
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP61468464
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License Number State | WA
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