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General NPI Number Information
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NPI Number | 1801566385
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Entity Type | Individual
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Provider Name | JANIE RENEE BUTLER FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/16/2021
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 333 PORTAGE ST
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City | KALAMAZOO
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State | MI
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Zip | 49007-4931
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Country | US
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Telephone | 269-359-4407
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Fax |
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Provider Business Mailing Address
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Address Line | 1761 BEALL AVE
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City | WOOSTER
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State | OH
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Zip | 44691-2342
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Country | US
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Telephone | 330-269-8100
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | CNP.0038561
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License Number State | OH
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