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General NPI Number Information
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NPI Number | 1740454131
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Entity Type | Organization
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Legal Business Name | BUTLER FAMILY DENTAL
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Dates
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Enumeration Date | 04/16/2008
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Last Update Date | 04/16/2008
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Provider Practice Location Address
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Address Line | 9 CAREY AVE
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City | BUTLER
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State | NJ
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Zip | 07405-1407
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Country | US
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Telephone | 973-838-1213
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Fax | 973-838-4979
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Provider Business Mailing Address
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Address Line | 9 CAREY AVE
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City | BUTLER
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State | NJ
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Zip | 07405-1407
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Country | US
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Telephone | 973-838-1213
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Fax | 973-838-4979
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Authorized Official
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Title or Position | DENTIST
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Name | DR. KARIN CABANA
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Credential | D.M.D
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Telephone | 973-838-1213
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 22D102267301
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License Number State | NJ
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