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General NPI Number Information
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NPI Number | 1801986849
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Entity Type | Individual
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Provider Name | JAMES ELDRED BUTTKE PHARMD
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Gender | Male
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 113 COMANCHE RD
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City | FORT MEADE
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State | SD
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Zip | 57741-1002
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Country | US
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Telephone | 605-347-2511
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Fax | 605-347-7207
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Provider Business Mailing Address
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Address Line | 2 JOHN ST
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City | DEADWOOD
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State | SD
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Zip | 57732-1210
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Country | US
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Telephone | 605-695-1292
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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 | 5391
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License Number State | SD
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Taxonomy #2
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 5391
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License Number State | SD
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