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General NPI Number Information
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NPI Number | 1326464421
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Entity Type | Organization
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Legal Business Name | SCOTT K. BUTTS, DDS, PA
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Dates
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Enumeration Date | 03/13/2014
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Last Update Date | 03/13/2014
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Provider Practice Location Address
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Address Line | 150 VILLAGE WALK DR
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City | HOLLY SPRINGS
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State | NC
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Zip | 27540-7679
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Country | US
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Telephone | 919-346-3656
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Fax |
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Provider Business Mailing Address
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Address Line | 150 VILLAGE WALK DR
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City | HOLLY SPRINGS
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State | NC
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Zip | 27540-7679
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Country | US
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Telephone | 919-346-3656
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | MRS. MAUREEN CAROL BUTTS
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Credential | FNP
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Telephone | 919-452-6195
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 8630
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License Number State | NC
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