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General NPI Number Information
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NPI Number | 1750046017
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Entity Type | Individual
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Provider Name | VIKKI TWYNETTE GASKIN-BUTLER PH.D.
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Gender | Female
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Dates
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Enumeration Date | 11/02/2021
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 3607 DERUYTER CIR
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City | CHARLOTTE
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State | NC
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Zip | 28269-9707
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Country | US
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Telephone | 321-948-4401
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Fax |
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Provider Business Mailing Address
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Address Line | 3020 PROSPERITY CHURCH RD STE I
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City | CHARLOTTE
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State | NC
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Zip | 28269-8100
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Country | US
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Telephone | 321-948-4401
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 9892
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 002648
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6274
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License Number State | NC
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