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General NPI Number Information
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NPI Number | 1437553864
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Entity Type | Individual
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Provider Name | CHRISTINE BUTTREY RD, LD
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Gender | Female
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Dates
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Enumeration Date | 10/14/2014
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Last Update Date | 02/16/2018
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Provider Practice Location Address
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Address Line | 800 N FANT ST
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City | ANDERSON
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State | SC
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Zip | 29621-5708
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Country | US
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Telephone | 864-512-1000
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Fax | 864-512-3719
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Provider Business Mailing Address
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Address Line | 4 MEDICAL DR
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City | ELBERTON
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State | GA
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Zip | 30635-1830
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Country | US
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Telephone | 706-283-3151
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Fax | 706-213-2578
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 911734
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License Number State | SC
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