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General NPI Number Information
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NPI Number | 1326540915
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Entity Type | Individual
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Provider Name | DAVID ALLAN BUTLER PHARMD
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Gender | Male
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Dates
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Enumeration Date | 02/28/2018
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Last Update Date | 02/28/2018
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Provider Practice Location Address
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Address Line | 833 S WOOD ST ROOM 164 (MC 886)
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City | CHICAGO
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State | IL
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Zip | 60605
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Country | US
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Telephone | 312-413-1422
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Fax | 312-996-0379
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Provider Business Mailing Address
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Address Line | 833 S WOOD ST ROOM 164 (MC 886)
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City | CHICAGO
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State | IL
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Zip | 60605
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Country | US
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Telephone | 312-413-1422
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Fax | 312-996-0379
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH60665385
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 051300659
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License Number State | IL
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