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General NPI Number Information
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NPI Number | 1396230983
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Entity Type | Individual
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Provider Name | DANIEL GRIFFIN BUTLER DDS
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Gender | Male
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Dates
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Enumeration Date | 06/26/2018
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Last Update Date | 08/05/2019
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Provider Practice Location Address
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Address Line | 70 PINE STATE ST
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City | LILLINGTON
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State | NC
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Zip | 27546-9431
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Country | US
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Telephone | 910-893-4977
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Fax |
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Provider Business Mailing Address
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Address Line | 70 PINE STATE ST
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City | LILLINGTON
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State | NC
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Zip | 27546-9431
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Country | US
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Telephone | 919-744-5623
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 11109
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License Number State | NC
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