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General NPI Number Information
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NPI Number | 1568663888
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Entity Type | Individual
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Provider Name | DEBRA S BUTLER M.S.LMFT
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Gender | Female
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 06/01/2018
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Provider Practice Location Address
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Address Line | 3150 HILLTOP MALL RD
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City | RICHMOND
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State | CA
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Zip | 94806
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Country | US
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Telephone | 888-288-0620
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Fax |
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Provider Business Mailing Address
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Address Line | 164 ROBLES WAY # 230
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City | VALLEJO
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State | CA
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Zip | 94591-8039
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Country | US
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Telephone | 888-288-0620
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 51217
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License Number State | CA
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