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General NPI Number Information
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NPI Number | 1891911590
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Entity Type | Organization
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Legal Business Name | DALE R. BUTLER, MD, INC.
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 105 CATHERINE LN
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City | GRASS VALLEY
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State | CA
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Zip | 95945-5705
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Country | US
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Telephone | 530-477-5911
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Fax | 530-477-1021
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Provider Business Mailing Address
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Address Line | 105 CATHERINE LN
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City | GRASS VALLEY
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State | CA
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Zip | 95945-5705
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Country | US
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Telephone | 530-477-5911
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Fax | 530-477-1021
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DALE R BUTLER
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Credential | MD
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Telephone | 530-477-5911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | C35311
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License Number State | CA
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