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General NPI Number Information
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NPI Number | 1528001005
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Entity Type | Individual
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Provider Name | ELLEN J BUTTS RN, APNP
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Gender | Female
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 210 LEWIS ST
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City | RIVER FALLS
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State | WI
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Zip | 54022-2107
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Country | US
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Telephone | 715-425-8003
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Fax | 715-425-8221
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Provider Business Mailing Address
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Address Line | N1550 770TH ST
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City | HAGER CITY
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State | WI
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Zip | 54014-8027
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Country | US
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Telephone | 715-792-2898
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 218-033
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License Number State | WI
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