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General NPI Number Information
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NPI Number | 1386753325
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Entity Type | Individual
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Provider Name | JONATHAN WILLIAM BUTLER MD, M.ED.
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Gender | Male
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 8401 MEDICAL PLAZA DR STE 300
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City | CHARLOTTE
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State | NC
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Zip | 28262-8702
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Country | US
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Telephone | 704-316-6561
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Fax | 704-384-1977
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Provider Business Mailing Address
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Address Line | 9615 E 148TH ST STE 1
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City | NOBLESVILLE
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State | IN
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Zip | 46060-4371
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Country | US
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Telephone | 317-574-1254
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Fax | 317-674-0060
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 01070077A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2025-00264
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | 26897
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 26897
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License Number State | TN
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Taxonomy #5
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | 01070077A
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License Number State | IN
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