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General NPI Number Information
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NPI Number | 1619493046
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Entity Type | Organization
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Legal Business Name | BUTLER MEDICAL PROVIDERS
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Dates
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Enumeration Date | 08/17/2017
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 104 TECHNOLOGY DR STE 202
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City | BUTLER
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State | PA
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Zip | 16001-1801
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Country | US
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Telephone | 833-391-0654
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Fax | 724-482-6117
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Provider Business Mailing Address
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Address Line | PO BOX 641031
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City | PITTSBURGH
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State | PA
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Zip | 15264-1031
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Country | US
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Telephone | 877-247-9925
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Fax | 724-284-4144
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Authorized Official
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Title or Position | COO PHYSICIAN NETWORK
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Name | SCOTT MADDEN
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Credential |
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Telephone | 724-283-6666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State | PA
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