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NPI 1477589026

NPI 1477589026 : TODD MICHAEL BUTZ MD : YORK, PA

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General NPI Number Information
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    NPI Number           |    1477589026
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    Entity Type          |    Individual 
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    Provider Name        |    TODD MICHAEL BUTZ MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/24/2006
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    Last Update Date     |    05/16/2017
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Provider Practice Location Address
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    Address Line         |    1001 S GEORGE ST 2ND FLOOR
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    City                 |    YORK
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    State                |    PA
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    Zip                  |    17403-3676
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    Country              |    US
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    Telephone            |    717-851-2672
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    Fax                  |    717-851-2479
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Provider Business Mailing Address
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    Address Line         |    3421 CONCORD RD 
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    City                 |    YORK
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    State                |    PA
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    Zip                  |    17402-9001
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    Country              |    US
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    Telephone            |    717-851-1405
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    Fax                  |    717-851-2479
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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        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    MD047531L
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    MD047531L
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    License Number State |    PA
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