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General NPI Number Information
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NPI Number | 1467881433
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Entity Type | Organization
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Legal Business Name | BUTWIN CHIROPRACTIC
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Dates
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Enumeration Date | 11/11/2013
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Last Update Date | 04/22/2014
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Provider Practice Location Address
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Address Line | 890 E 116TH ST SUITE 108
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City | CARMEL
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State | IN
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Zip | 46032-3475
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Country | US
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Telephone | 317-848-4408
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Fax | 317-848-4407
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Provider Business Mailing Address
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Address Line | 890 E 116TH ST SUITE 108
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City | CARMEL
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State | IN
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Zip | 46032-3475
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Country | US
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Telephone | 317-848-4408
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Fax | 317-848-4407
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Authorized Official
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Title or Position | OWNER, PRESIDENT, VICE PRESIDENT
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Name | BENJAMIN BUTWIN
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Credential | D.C.
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Telephone | 317-848-4408
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 08002596A
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License Number State | IN
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