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General NPI Number Information
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NPI Number | 1548195613
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Entity Type | Organization
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Legal Business Name | LISA L BUTTARO, DDS
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Dates
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Enumeration Date | 06/17/2026
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Last Update Date | 06/17/2026
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Provider Practice Location Address
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Address Line | 6106 20TH ST E
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City | TACOMA
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State | WA
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Zip | 98424-2036
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Country | US
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Telephone | 253-926-3803
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Fax | 253-926-2263
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Provider Business Mailing Address
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Address Line | 6106 20TH ST E
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City | TACOMA
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State | WA
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Zip | 98424-2036
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Country | US
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Telephone | 253-926-3803
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Fax | 253-926-2263
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Authorized Official
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Title or Position | ADMINISTRATIVE MANAGER
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Name | KIM GWEN SCHWEIGERT
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Credential |
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Telephone | 253-926-3803
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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