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General NPI Number Information
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NPI Number | 1548687635
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Entity Type | Individual
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Provider Name | BENNET ARTHUR BUTLER
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Gender | Male
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Dates
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Enumeration Date | 03/26/2014
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Last Update Date | 04/22/2021
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Provider Practice Location Address
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Address Line | 259 E ERIE ST FL 13
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City | CHICAGO
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State | IL
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Zip | 60611-3926
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Country | US
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Telephone | 312-695-6800
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Fax | 312-926-6600
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Provider Business Mailing Address
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Address Line | 259 E ERIE ST FL 13
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City | CHICAGO
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State | IL
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Zip | 60611-3926
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Country | US
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Telephone | 312-695-6800
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Fax | 312-926-6600
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 036-151671
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number | 036.151671
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License Number State | IL
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