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General NPI Number Information
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NPI Number | 1285738286
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Entity Type | Individual
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Provider Name | JEFFREY J BUTLER MD
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Gender | Male
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Dates
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Enumeration Date | 09/11/2006
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Last Update Date | 11/12/2020
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Provider Practice Location Address
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Address Line | 3237 S 16TH ST SUITE 210
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City | MILWAUKEE
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State | WI
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Zip | 53215-4526
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Country | US
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Telephone | 414-384-6700
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Fax | 414-384-3008
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Provider Business Mailing Address
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Address Line | 2323 N MAYFAIR RD SUITE 300
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City | MILWAUKEE
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State | WI
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Zip | 53226-1506
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Country | US
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Telephone | 414-384-6700
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Fax | 414-727-1058
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 24479
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License Number State | WI
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