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General NPI Number Information
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NPI Number | 1891995247
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Entity Type | Organization
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Legal Business Name | VERONICA WELLS BUTLER MD PC
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Dates
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Enumeration Date | 07/24/2007
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Last Update Date | 07/24/2007
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Provider Practice Location Address
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Address Line | 1221 N COURT
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City | OTTUMWA
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State | IA
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Zip | 52501-1909
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Country | US
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Telephone | 641-683-3101
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Fax | 641-683-3029
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Provider Business Mailing Address
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Address Line | 1221 N COURT
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City | OTTUMWA
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State | IA
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Zip | 52501-1909
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Country | US
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Telephone | 641-683-3101
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Fax | 641-683-3029
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Authorized Official
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Title or Position | OWNER
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Name | DR. VERONICA WELLS BUTLER
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Credential |
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Telephone | 641-683-3101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 23920
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License Number State | IA
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