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General NPI Number Information
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NPI Number | 1609137348
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Entity Type | Individual
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Provider Name | CHRISTOPHER ALAN BUTTS PH.D., D.O
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Gender | Male
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Dates
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Enumeration Date | 05/30/2012
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Last Update Date | 03/31/2021
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Provider Practice Location Address
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Address Line | 420 S 5TH AVE
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City | WEST READING
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State | PA
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Zip | 19611-2143
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Country | US
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Telephone | 484-628-4879
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 13579
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City | READING
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State | PA
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Zip | 19612-3579
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Country | US
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Telephone |
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | OS017970
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number | 25MB10043900
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | OS017970
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License Number State | PA
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