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General NPI Number Information
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NPI Number | 1609969492
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Entity Type | Individual
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Provider Name | RANDY HITT BUTLER M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 09/23/2022
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Provider Practice Location Address
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Address Line | 6125 N CONQUISTADOR ST
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City | LAS VEGAS
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State | NV
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Zip | 89149-1339
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Country | US
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Telephone | 702-218-0931
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Fax |
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Provider Business Mailing Address
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Address Line | 653 N TOWN CENTER DR SUITE 502
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City | LAS VEGAS
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State | NV
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Zip | 89144-0514
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Country | US
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Telephone | 702-242-4102
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Fax | 702-242-0177
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 6224
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 2083A0100X
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Taxonomy Name | Aerospace Medicine Physician
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License Number | 31647
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License Number State | TX
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