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General NPI Number Information
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NPI Number | 1609092667
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Entity Type | Individual
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Provider Name | MELONIE G BUTLER PHARMACIST
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Gender | Female
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 235 AZALEA DR
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City | FLORENCE
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State | AL
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Zip | 35630-1741
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Country | US
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Telephone | 256-764-5571
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Fax | 256-246-0354
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Provider Business Mailing Address
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Address Line | MELONIE G. BUTLER 3440 KOLBE LN
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City | FLORENCE
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State | AL
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Zip | 35634
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Country | US
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Telephone | 256-764-5571
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Fax | 256-246-0354
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 11513
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License Number State | AL
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