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General NPI Number Information
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NPI Number | 1518302280
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Entity Type | Individual
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Provider Name | ADAM M BUTLER M.S., OTR/L
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Gender | Male
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Dates
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Enumeration Date | 05/07/2013
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Last Update Date | 02/24/2014
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Provider Practice Location Address
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Address Line | 2302 N 15TH AVE
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City | PHOENIX
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State | AZ
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Zip | 85007-1201
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Country | US
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Telephone | 602-265-4124
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Fax |
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Provider Business Mailing Address
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Address Line | 1959 E KRISTA WAY
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City | TEMPE
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State | AZ
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Zip | 85284-1758
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Country | US
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Telephone | 610-301-3343
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OC012416
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License Number State | PA
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