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General NPI Number Information
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NPI Number | 1306015698
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Entity Type | Organization
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Legal Business Name | ANTHONY J BUTO, DPM
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Dates
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Enumeration Date | 02/21/2008
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Last Update Date | 03/24/2009
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Provider Practice Location Address
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Address Line | 2520 PACKARD RD
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City | YPSILANTI
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State | MI
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Zip | 48197-1929
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Country | US
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Telephone | 734-434-3545
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Fax |
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Provider Business Mailing Address
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Address Line | 2520 PACKARD RD
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City | YPSILANTI
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State | MI
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Zip | 48197-1929
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Country | US
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Telephone | 734-434-3545
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANTHONY JAMES BUTO
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Credential | DPM
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Telephone | 734-434-3545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | AB000672
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License Number State | MI
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