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General NPI Number Information
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NPI Number | 1770521445
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Entity Type | Individual
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Provider Name | SABAH DAVID BUTTY MD
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Gender | Male
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 250 E DAY RD STE 300
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City | MISHAWAKA
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State | IN
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Zip | 46545-3471
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Country | US
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Telephone | 574-968-0283
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Fax |
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Provider Business Mailing Address
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Address Line | 250 N SHADELAND AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46219-4959
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Country | US
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Telephone |
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 01056204
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 69312
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 036118865
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 01056204A
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License Number State | IN
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Taxonomy #5
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 01056204
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License Number State | IN
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