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General NPI Number Information
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NPI Number | 1801678511
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Entity Type | Individual
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Provider Name | CINDY LOU BUTKIEWICZ PHARM,D
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Gender | Female
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Dates
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Enumeration Date | 10/17/2023
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Last Update Date | 10/17/2023
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Provider Practice Location Address
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Address Line | 2002 SHILOH CHURCH RD
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City | DAVIDSON
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State | NC
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Zip | 28036-9550
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Country | US
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Telephone | 704-436-3460
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Fax |
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Provider Business Mailing Address
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Address Line | 12440 STOWE ACRES DR
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City | CHARLOTTE
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State | NC
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Zip | 28262-1001
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 32712
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License Number State | NC
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