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General NPI Number Information
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NPI Number | 1437179553
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Entity Type | Individual
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Provider Name | J DENNIS BUTLER CRNP
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Gender | Male
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 03/14/2017
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Provider Practice Location Address
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Address Line | 4704 CAHABA RIVER RD SUITE 101D
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City | BIRMINGHAM
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State | AL
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Zip | 35243-2344
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Country | US
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Telephone | 205-739-2266
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Fax | 205-739-2335
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Provider Business Mailing Address
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Address Line | 1919 OXMOOR RD STE 276
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City | HOMEWOOD
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State | AL
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Zip | 35209-3502
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Country | US
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Telephone | 205-879-8294
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Fax | 205-879-8259
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 1-032598
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License Number State | AL
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