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General NPI Number Information
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NPI Number | 1548356165
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Entity Type | Individual
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Provider Name | CYNTHIA LEE BUTLER L.C.S.W.-C.
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Gender | Female
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2191 DEFENSE HIGHWAY SUITE 308
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City | CROFTON
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State | MD
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Zip | 21114
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Country | US
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Telephone | 410-956-3454
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Fax | 410-721-3588
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Provider Business Mailing Address
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Address Line | 3211 HOMEWOOD ROAD
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City | DAVIDSONVILLE
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State | MD
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Zip | 21035
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Country | US
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Telephone | 301-261-4355
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 06229
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License Number State | MD
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