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General NPI Number Information
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NPI Number | 1760240519
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Entity Type | Individual
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Provider Name | EMILY ANNE BUTLER
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Gender | Female
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Dates
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Enumeration Date | 03/07/2024
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Last Update Date | 03/07/2024
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Provider Practice Location Address
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Address Line | 3285 S COUNTY TRL UNIT 2B
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City | EAST GREENWICH
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State | RI
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Zip | 02818-1469
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Country | US
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Telephone | 401-404-5585
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Fax |
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Provider Business Mailing Address
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Address Line | 65 UNION ST APT 2
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City | WOONSOCKET
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State | RI
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Zip | 02895-5349
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Country | US
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Telephone | 774-286-1853
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | OT01922
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 13715
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License Number State | MA
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