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General NPI Number Information
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NPI Number | 1316479165
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Entity Type | Individual
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Provider Name | BARJINDER SINGH BUTTAR M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/31/2017
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 1 HEROES WAY
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City | RIVERHEAD
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State | NY
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Zip | 11901-2054
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Country | US
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Telephone | 631-548-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 4 STURBRIDGE LN
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City | DIX HILLS
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State | NY
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Zip | 11746-5015
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Country | US
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Telephone | 631-548-6000
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 306054
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 306054
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License Number State | NY
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