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General NPI Number Information
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NPI Number | 1356409643
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Entity Type | Organization
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Legal Business Name | BUTLER OPTICAL CENTER,INC
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 02/13/2012
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Provider Practice Location Address
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Address Line | 130 NORTH MULBERRY
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City | BUTLER
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State | AL
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Zip | 36904-2224
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Country | US
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Telephone | 205-459-2460
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Fax | 205-453-2462
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Provider Business Mailing Address
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Address Line | 130 NORTH MULBERRY
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City | BUTLER
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State | AL
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Zip | 36904-2224
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Country | US
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Telephone | 205-459-2460
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Fax | 205-453-2462
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. KATHY LYNN CORNETT
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Credential |
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Telephone | 205-459-2460
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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