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General NPI Number Information
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NPI Number | 1346629086
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Entity Type | Individual
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Provider Name | PAULA BUTLER
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Gender | Female
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Dates
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Enumeration Date | 05/27/2015
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Last Update Date | 05/27/2015
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Provider Practice Location Address
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Address Line | 1234 N CHESTNUT AVE
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60004-4618
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Country | US
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Telephone | 216-246-4780
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5643
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City | VERNON HILLS
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State | IL
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Zip | 60061-5643
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Country | US
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Telephone | 216-246-4780
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | ACD.0000491
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 166001009
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0001205
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License Number State | CO
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