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General NPI Number Information
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NPI Number | 1396904132
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Entity Type | Individual
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Provider Name | LLOYD ALLEN BUTLER O.D.
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Gender | Male
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Dates
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Enumeration Date | 06/06/2008
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Last Update Date | 06/06/2008
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Provider Practice Location Address
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Address Line | 200 DOCTORS DR SUITE K
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City | JACKSONVILLE
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State | NC
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Zip | 28546-6310
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Country | US
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Telephone | 910-353-0541
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Fax | 910-353-5353
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Provider Business Mailing Address
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Address Line | 200 DOCTORS DR SUITE K
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City | JACKSONVILLE
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State | NC
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Zip | 28546-6310
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Country | US
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Telephone | 910-353-0541
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Fax | 910-353-5353
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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 | NC 2082
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | SC 1488
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | SC 1488
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | NC 2082
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 152WL0500X
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Taxonomy Name | Low Vision Rehabilitation Optometrist
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License Number | NC 2082
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License Number State | NC
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Taxonomy #6
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Taxonomy Code | 152WL0500X
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Taxonomy Name | Low Vision Rehabilitation Optometrist
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License Number | SC 1488
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License Number State | SC
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Taxonomy #7
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Taxonomy Code | 152WP0200X
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Taxonomy Name | Pediatric Optometrist
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License Number | NC 2082
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License Number State | NC
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Taxonomy #8
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Taxonomy Code | 152WP0200X
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Taxonomy Name | Pediatric Optometrist
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License Number | SC 1488
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License Number State | SC
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Taxonomy #9
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Taxonomy Code | 152WS0006X
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Taxonomy Name | Sports Vision Optometrist
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License Number | NC 2082
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License Number State | NC
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Taxonomy #10
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Taxonomy Code | 152WS0006X
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Taxonomy Name | Sports Vision Optometrist
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License Number | SC 1488
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License Number State | SC
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Taxonomy #11
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Taxonomy Code | 152WV0400X
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Taxonomy Name | Vision Therapy Optometrist
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License Number | NC 2082
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License Number State | NC
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Taxonomy #12
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Taxonomy Code | 152WV0400X
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Taxonomy Name | Vision Therapy Optometrist
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License Number | SC 1488
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License Number State | SC
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