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General NPI Number Information
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NPI Number | 1952005035
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Entity Type | Organization
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Legal Business Name | BUTTE SCHOOLS SELF-FUNDED PROGRAMS
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Dates
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Enumeration Date | 03/30/2023
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Last Update Date | 03/30/2023
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Provider Practice Location Address
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Address Line | 500 COHASSET RD STE 24
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City | CHICO
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State | CA
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Zip | 95926-2260
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Country | US
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Telephone | 530-879-7582
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Fax | 530-879-7595
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Provider Business Mailing Address
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Address Line | 500 COHASSET RD STE 24
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City | CHICO
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State | CA
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Zip | 95926-2260
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Country | US
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Telephone | 530-879-7582
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Fax | 530-879-7595
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | CHRISTY R PATTERSON
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Credential |
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Telephone | 530-879-7438
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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