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General NPI Number Information
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NPI Number | 1376523639
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Entity Type | Individual
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Provider Name | JAMES K BUTNER O.D.
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Gender | Male
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Dates
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Enumeration Date | 01/20/2006
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Last Update Date | 01/10/2023
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Provider Practice Location Address
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Address Line | 529 N WILSON ST
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City | VINITA
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State | OK
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Zip | 74301-2428
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Country | US
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Telephone | 918-256-5543
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Fax | 918-256-6118
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Provider Business Mailing Address
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Address Line | PO BOX 926
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City | VINITA
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State | OK
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Zip | 74301-0926
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Country | US
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Telephone | 918-256-5543
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Fax | 918-256-6118
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 972
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License Number State | OK
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