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General NPI Number Information
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NPI Number | 1730171745
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Entity Type | Individual
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Provider Name | FOUAD M BUTTO MD
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Gender | Male
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Dates
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Enumeration Date | 08/16/2005
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Last Update Date | 01/01/2025
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Provider Practice Location Address
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Address Line | 3503 E FRONTAGE RD
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City | TAMPA
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State | FL
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Zip | 33607-1742
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Country | US
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Telephone | 813-586-8187
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Fax | 813-321-6998
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Provider Business Mailing Address
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Address Line | 2995 DREW ST FL 2
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City | CLEARWATER
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State | FL
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Zip | 33759-3012
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Country | US
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Telephone | 727-315-7496
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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 | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | 35059340
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | 4301069375
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | ME128404
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License Number State | FL
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