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General NPI Number Information
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NPI Number | 1346433513
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Entity Type | Individual
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Provider Name | LYNN A BUTLER ARDMS
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Gender | Female
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Dates
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Enumeration Date | 08/21/2007
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 242 HUNTINGHOUSE RD
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City | NORTH SCITUATE
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State | RI
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Zip | 02857-2849
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Country | US
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Telephone | 401-678-6873
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Fax |
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Provider Business Mailing Address
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Address Line | 765 MAIN AVE
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City | WARWICK
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State | RI
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Zip | 02886-3213
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Country | US
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Telephone | 401-737-2229
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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 | 2471S1302X
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Taxonomy Name | Sonography Radiologic Technologist
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License Number | 80742
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License Number State | RI
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