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General NPI Number Information
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NPI Number | 1275089872
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Entity Type | Organization
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Legal Business Name | TIMOTHY J. BUTSON DMD, MSD, PLLC
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 09/01/2016
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Provider Practice Location Address
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Address Line | 600 UNIVERSITY ST STE 819
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City | SEATTLE
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State | WA
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Zip | 98101-4117
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Country | US
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Telephone | 206-624-7706
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Fax | 206-264-0527
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Provider Business Mailing Address
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Address Line | 600 UNIVERSITY ST. STE. 819
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City | SEATTLE
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State | WA
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Zip | 98101
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Country | US
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Telephone | 206-624-7706
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Fax | 206-264-0527
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Authorized Official
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Title or Position | DR.
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Name | TIMOTHY JAMES BUTSON
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Credential | DMD, MSD
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Telephone | 206-624-7706
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 6595
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License Number State | WA
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