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NPI 1568498830

NPI 1568498830 : BUTTONWOOD FARMS, INC. : PHILADELPHIA, PA

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General NPI Number Information
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    NPI Number           |    1568498830
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    Entity Type          |    Organization 
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    Legal Business Name  |    BUTTONWOOD FARMS, INC. 
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Dates
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    Enumeration Date     |    06/25/2006
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    Last Update Date     |    06/18/2008
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Provider Practice Location Address
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    Address Line         |    3380 BYBERRY RD 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19154-2909
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    Country              |    US
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    Telephone            |    215-637-8235
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    Fax                  |    215-612-0469
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Provider Business Mailing Address
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    Address Line         |    3380 BYBERRY RD 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19154-2909
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    Country              |    US
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    Telephone            |    215-637-8235
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    Fax                  |    215-612-0469
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Authorized Official
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    Title or Position    |    C.E.O.
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    Name                 |    MR. STANLEY M STEIN 
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    Credential           |    
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    Telephone            |    215-637-8235
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251300000X
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    Taxonomy Name        |    Local Education Agency (LEA)
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    License Number       |    
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    License Number State |    PA
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