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General NPI Number Information
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NPI Number | 1518992569
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Entity Type | Individual
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Provider Name | MARI LYNNE BUTLER A.R.N.P.
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Gender | Female
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 540 WAUGH ST
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City | JEFFERSON
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State | NC
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Zip | 28640-9034
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Country | US
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Telephone | 336-899-4591
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Fax |
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Provider Business Mailing Address
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Address Line | 395 HEMLOCK RD
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City | BANNER ELK
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State | NC
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Zip | 28604-8833
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Country | US
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Telephone | 336-899-4591
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP1191002
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License Number State | FL
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