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General NPI Number Information
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NPI Number | 1790309938
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Entity Type | Individual
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Provider Name | BRYAN JOHN BUTEL DO
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Gender | Male
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Dates
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Enumeration Date | 06/03/2020
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 1636 MIDTOWN PL
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City | MIDWEST CITY
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State | OK
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Zip | 73130-6347
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Country | US
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Telephone | 405-869-7700
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Fax | 405-869-7724
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Provider Business Mailing Address
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Address Line | 601 S HARBOUR ISLAND BLVD STE 200
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City | TAMPA
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State | FL
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Zip | 33602-5925
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Country | US
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Telephone | 727-322-3439
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Fax | 800-928-7449
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 7700
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License Number State | OK
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