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General NPI Number Information
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NPI Number | 1750648192
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Entity Type | Individual
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Provider Name | BRIANNE BUTLER DDS
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Gender | Female
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Dates
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Enumeration Date | 04/23/2012
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Last Update Date | 06/09/2014
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Provider Practice Location Address
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Address Line | 4235 BROOKLYN AVE NE APT 405
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City | SEATTLE
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State | WA
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Zip | 98105-5920
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Country | US
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Telephone | 206-478-0013
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Fax |
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Provider Business Mailing Address
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Address Line | 4235 BROOKLYN AVE NE APT 405
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City | SEATTLE
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State | WA
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Zip | 98105-5920
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Country | US
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Telephone | 425-478-0013
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DR60283339
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License Number State | WA
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