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General NPI Number Information
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NPI Number | 1710908348
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Entity Type | Individual
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Provider Name | MICHAEL P BUTLER DPM
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Gender | Male
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 01/03/2019
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Provider Practice Location Address
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Address Line | 3925 SHERIDAN DR
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City | BUFFALO
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State | NY
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Zip | 14226-1738
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Country | US
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Telephone | 716-250-9999
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Fax | 716-250-6555
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Provider Business Mailing Address
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Address Line | 2121 MAIN ST
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City | BUFFALO
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State | NY
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Zip | 14214-2693
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Country | US
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Telephone | 716-838-2983
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Fax | 716-838-2942
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | N0037071
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License Number State | NY
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