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General NPI Number Information
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NPI Number | 1578270484
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Entity Type | Individual
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Provider Name | CANDI LYNN BUTTKE APRN, PMHNP
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Gender | Female
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Dates
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Enumeration Date | 10/31/2022
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 305 CORDAY ST
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City | PENSACOLA
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State | FL
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Zip | 32503-2214
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Country | US
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Telephone | 850-908-2315
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Fax | 850-908-2307
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Provider Business Mailing Address
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Address Line | PO BOX 95590
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City | SOUTH JORDAN
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State | UT
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Zip | 84095-0590
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Country | US
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Telephone | 801-352-9500
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Fax | 801-352-7976
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN9267827
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN11025541
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License Number State | FL
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