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General NPI Number Information
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NPI Number | 1447608336
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Entity Type | Individual
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Provider Name | JOSEPH SIMON BUTLER MD PHD
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Gender | Male
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Dates
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Enumeration Date | 06/01/2016
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Last Update Date | 09/30/2016
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Provider Practice Location Address
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Address Line | 925 CHESTNUT ST 5TH FLOOR
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City | PHILADELPHIA
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State | PA
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Zip | 19107-4216
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Country | US
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Telephone | 800-321-9999
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Fax |
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Provider Business Mailing Address
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Address Line | 608 FRANKLIN ST APT 3
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City | CAMBRIDGE
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State | MA
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Zip | 02139-2924
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Country | US
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Telephone | 617-899-3614
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Fax |
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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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | IMC227017
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License Number State | ZZ
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD459313
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License Number State | PA
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