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General NPI Number Information
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NPI Number | 1427351766
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Entity Type | Individual
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Provider Name | MARY D BUTCHER RPH
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Gender | Female
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Dates
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Enumeration Date | 12/08/2010
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Last Update Date | 05/23/2012
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Provider Practice Location Address
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Address Line | N9417 SAM CREST LN
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City | PICKETT
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State | WI
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Zip | 54964-9618
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Country | US
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Telephone | 920-216-9904
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Fax | 920-589-2135
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Provider Business Mailing Address
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Address Line | N9417 SAM CREST LN
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City | PICKETT
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State | WI
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Zip | 54964-9618
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Country | US
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Telephone | 920-216-9904
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Fax | 920-589-2135
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 11514
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS 34536
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH 1849
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License Number State | HI
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5302361
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5302030095
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License Number State | MI
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Taxonomy #6
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 033.0068159
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License Number State | VT
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Taxonomy #7
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 12460-040
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License Number State | WI
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Taxonomy #8
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PU6865 CONSULTANT
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License Number State | FL
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Taxonomy #9
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 49611
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License Number State | TX
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Taxonomy #10
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 20056196
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License Number State | NY
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Taxonomy #11
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PST.019353
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License Number State | LA
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