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General NPI Number Information
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NPI Number | 1366505893
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Entity Type | Organization
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Legal Business Name | JOANNE M. BUTLER, R.N., N.P., INC., A NURSING CORPORATION
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 477 N EL CAMINO REAL A202
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City | ENCINITAS
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State | CA
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Zip | 92024-1328
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Country | US
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Telephone | 760-436-2300
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Fax |
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Provider Business Mailing Address
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Address Line | 332 HICKORYHILL DR
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City | ENCINITAS
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State | CA
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Zip | 92024-4020
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Country | US
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Telephone | 760-944-8189
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOANNE M. BUTLER
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Credential | N.P.
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Telephone | 760-944-8189
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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