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General NPI Number Information
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NPI Number | 1487696688
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Entity Type | Organization
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Legal Business Name | BROWNWOOD SPECIALTY GROUP, PA
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 05/15/2013
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Provider Practice Location Address
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Address Line | 2502 CROCKETT DR
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City | BROWNWOOD
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State | TX
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Zip | 76801-5900
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Country | US
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Telephone | 325-643-5521
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Fax |
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Provider Business Mailing Address
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Address Line | 2502 CROCKETT DR
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City | BROWNWOOD
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State | TX
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Zip | 76801-5900
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Country | US
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Telephone | 325-643-5521
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. GARY N BUTKA
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Credential | M.D.
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Telephone | 325-643-5521
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | G6479
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License Number State | TX
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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 | K2249
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | L3615
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | E1026
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 643131
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | H0955
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License Number State | TX
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Taxonomy #7
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | L2503
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License Number State | TX
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Taxonomy #8
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 706322
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License Number State | TX
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Taxonomy #9
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | D4147
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License Number State | TX
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Taxonomy #10
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 606438
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License Number State | TX
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Taxonomy #11
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 587449
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License Number State | TX
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