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General NPI Number Information
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NPI Number | 1932092327
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Entity Type | Individual
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Provider Name | ALLISON NICOLE BUTLER LPN
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Gender | Female
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Dates
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Enumeration Date | 06/02/2025
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | PO BOX 103
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City | MINCO
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State | OK
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Zip | 73059-0103
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Country | US
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Telephone | 405-492-6369
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Fax | 405-944-3002
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Provider Business Mailing Address
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Address Line | PO BOX 103
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City | MINCO
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State | OK
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Zip | 73059-0103
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Country | US
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Telephone | 405-492-6369
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Fax | 405-944-3002
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 246Y00000X
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Taxonomy Name | Health Information Specialist/Technologist
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | L0064518
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License Number State | OK
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