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General NPI Number Information
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NPI Number | 1801999404
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Entity Type | Organization
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Legal Business Name | VINAY K BUTTAN MD INC
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 01/16/2008
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Provider Practice Location Address
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Address Line | 166 N VILLA ST
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City | PORTERVILLE
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State | CA
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Zip | 93257
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Country | US
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Telephone | 559-782-1990
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Fax | 559-782-1163
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Provider Business Mailing Address
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Address Line | 166 N VILLA ST
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City | PORTERVILLE
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State | CA
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Zip | 93257
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Country | US
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Telephone | 559-782-0581
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Fax | 559-782-1163
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Authorized Official
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Title or Position | SECRETARY
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Name | POONAM BUTTAN
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Credential | MD
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Telephone | 559-782-0581
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A43173
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A33656
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License Number State | CA
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