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General NPI Number Information
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NPI Number | 1417938747
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Entity Type | Organization
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Legal Business Name | PRIMARY CARE ASSOCIATES OF BUTLER, PC
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Dates
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Enumeration Date | 11/14/2005
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Last Update Date | 04/11/2016
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Provider Practice Location Address
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Address Line | 480 E JEFFERSON ST
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City | BUTLER
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State | PA
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Zip | 16001-4780
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Country | US
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Telephone | 724-282-1530
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Fax | 724-282-1541
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Provider Business Mailing Address
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Address Line | 480 E JEFFERSON ST
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City | BUTLER
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State | PA
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Zip | 16001-4780
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Country | US
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Telephone | 724-282-1530
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Fax | 724-282-1541
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Authorized Official
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Title or Position | CFO
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Name | ANNE KREBS
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Credential |
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Telephone | 724-284-4879
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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