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General NPI Number Information
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NPI Number | 1932907664
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Entity Type | Organization
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Legal Business Name | BUTTERFLY EFFECTS
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Dates
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Enumeration Date | 03/06/2025
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 18152 WELLINGTON AVE
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City | TUSTIN
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State | CA
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Zip | 92780-2245
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Country | US
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Telephone | 714-296-6452
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Fax |
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Provider Business Mailing Address
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Address Line | 18152 WELLINGTON AVE
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City | TUSTIN
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State | CA
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Zip | 92780-2245
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Country | US
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Telephone | 714-296-6452
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | KEVIN SILVER
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Credential | BACHELOR OF SCIENCE
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Telephone | 877-500-2186
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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License Number |
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License Number State |
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