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General NPI Number Information
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NPI Number | 1710531850
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Entity Type | Individual
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Provider Name | DR. RACHEL BUTLER
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Gender | Female
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Dates
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Enumeration Date | 07/26/2019
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Last Update Date | 07/26/2019
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Provider Practice Location Address
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Address Line | 3201 NW RANDALL WAY
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City | SILVERDALE
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State | WA
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Zip | 98383-7952
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Country | US
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Telephone | 360-536-6010
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Fax | 360-536-9100
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Provider Business Mailing Address
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Address Line | 8360 6TH AVE
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City | TACOMA
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State | WA
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Zip | 98465-1044
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Country | US
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Telephone | 317-376-3915
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH60921753
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License Number State | WA
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