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General NPI Number Information
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NPI Number | 1548355381
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Entity Type | Individual
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Provider Name | ROBERT NICHOLAS BUTLER JR. MD
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Gender | Male
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1700 MEDICAL WAY EASTSIDE MEDICAL CENTER
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City | SNELLVILLE
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State | GA
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Zip | 30078-2195
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Country | US
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Telephone | 770-736-2376
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Fax | 770-736-2379
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Provider Business Mailing Address
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Address Line | PO BOX 116301 PARAGON EMERGENCY PHYSICIANS PC
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City | ATLANTA
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State | GA
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Zip | 30368-6301
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Country | US
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Telephone | 800-666-2455
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Fax | 610-617-6280
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 037161
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License Number State | GA
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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 | 037161
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License Number State | GA
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