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General NPI Number Information
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NPI Number | 1841937117
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Entity Type | Individual
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Provider Name | AMELIA BUTLER PHD
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Gender | Female
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Dates
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Enumeration Date | 05/17/2022
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Last Update Date | 05/17/2022
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Provider Practice Location Address
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Address Line | 4515 S 280TH ST
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City | AUBURN
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State | WA
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Zip | 98001-1128
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Country | US
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Telephone | 425-223-0447
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3388
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City | FEDERAL WAY
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State | WA
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Zip | 98063-3388
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Country | US
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Telephone | 425-223-0447
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1744R1102X
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Taxonomy Name | Research Study Specialist
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License Number |
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License Number State |
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