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General NPI Number Information
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NPI Number | 1760696348
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Entity Type | Individual
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Provider Name | SHARON L. BUTEAU PT
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Gender | Female
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 400 MAIN ST MS 124-10
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City | EAST HARTFORD
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State | CT
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Zip | 06108-0968
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Country | US
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Telephone | 860-565-1089
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Fax | 860-565-6348
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Provider Business Mailing Address
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Address Line | 115 WOODS END RD
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City | GUILFORD
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State | CT
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Zip | 06437-1933
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Country | US
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Telephone | 203-453-5712
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Fax | 203-453-3610
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 002054
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License Number State | CT
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