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General NPI Number Information
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NPI Number | 1770522377
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Entity Type | Individual
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Provider Name | NANCY N BUTLER MD
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Gender | Female
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 305 MEMORIAL MEDICAL PKWY STE 208
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City | DAYTONA BEACH
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State | FL
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Zip | 32117-5169
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Country | US
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Telephone | 386-231-3593
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Fax | 386-231-3595
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Provider Business Mailing Address
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Address Line | PO BOX 863381
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City | ORLANDO
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State | FL
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Zip | 32886-3381
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Country | US
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Telephone | 386-231-3593
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 60291
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 50572
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | ME149885
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License Number State | FL
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