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General NPI Number Information
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NPI Number | 1942752811
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Entity Type | Individual
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Provider Name | CHRISTINE R BUTLER
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Gender | Female
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Dates
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Enumeration Date | 10/26/2016
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | KAISER PERMANENTE 393 E WALNUT ST
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City | PASADENA
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State | CA
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Zip | 91188-5406
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Country | US
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Telephone | 888-998-2546
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1312
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City | RIVERSIDE
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State | CA
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Zip | 92502-1312
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Country | US
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Telephone | 909-772-8210
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 112941
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License Number State | CA
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