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General NPI Number Information
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NPI Number | 1447303458
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Entity Type | Individual
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Provider Name | JOHN DAVIS BUTLER JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/21/2007
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Last Update Date | 06/10/2021
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Provider Practice Location Address
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Address Line | 655 WATKINS MILL RD FL 6
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City | GAITHERSBURG
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State | MD
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Zip | 20879-3301
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Country | US
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Telephone | 240-632-4475
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Fax |
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Provider Business Mailing Address
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Address Line | 700 2ND ST NE DEPARTMENT OF GENERAL SURGERY
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City | WASHINGTON
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State | DC
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Zip | 20002-8100
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Country | US
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Telephone | 202-346-3850
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Fax | 202-346-3626
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 17730
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License Number State | DC
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