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General NPI Number Information
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NPI Number | 1346295441
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Entity Type | Organization
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Legal Business Name | KAREN BUTLER, MD, LLC
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 08/09/2019
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Provider Practice Location Address
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Address Line | 310 US HIGHWAY 1 BYP S
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City | LOUISVILLE
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State | GA
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Zip | 30434-6432
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Country | US
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Telephone | 478-494-8389
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Fax |
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Provider Business Mailing Address
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Address Line | 945 OAKLAWN DR
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City | SWAINSBORO
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State | GA
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Zip | 30401-5730
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Country | US
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Telephone | 478-494-8389
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Fax | 877-991-3106
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Authorized Official
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Title or Position | OWNER
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Name | KAREN BUTLER
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Credential | MD
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Telephone | 478-494-8389
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 43732-020
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License Number State | WI
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