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General NPI Number Information
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NPI Number | 1831116805
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Entity Type | Individual
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Provider Name | CHRISTIAN BUTCHER M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/16/2006
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Last Update Date | 02/15/2024
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Provider Practice Location Address
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Address Line | 150 DUNCAN RD
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City | BUCKEYE
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State | WV
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Zip | 24924-9037
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Country | US
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Telephone | 304-799-7400
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Fax | 304-799-1074
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Provider Business Mailing Address
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Address Line | 400 N STATE OF FRANKLIN RD ROOM 2746
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City | JOHNSON CITY
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State | TN
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Zip | 37604-6035
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Country | US
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Telephone | 423-431-2727
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Fax | 423-431-6715
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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 | 21677
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License Number State | WV
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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 | 53540
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 2014-02347
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 53540
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License Number State | TN
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Taxonomy #5
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 0101240820
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License Number State | VA
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