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General NPI Number Information
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NPI Number | 1730140815
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Entity Type | Organization
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Legal Business Name | BUTLER DENTAL ASSOCIATES
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Dates
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Enumeration Date | 03/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 121 S MAIN ST
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City | BUTLER
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State | PA
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Zip | 16001-5907
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Country | US
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Telephone | 724-287-4221
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Fax |
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Provider Business Mailing Address
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Address Line | 121 S MAIN ST
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City | BUTLER
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State | PA
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Zip | 16001-5907
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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 | CORPORATE PRESIDENT
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Name | JOHN HIRAS
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Credential |
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Telephone | 412-498-6492
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DS027438L
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License Number State | PA
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