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General NPI Number Information
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NPI Number | 1962440701
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Entity Type | Individual
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Provider Name | MICHAEL J BUTLER M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 03/25/2014
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Provider Practice Location Address
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Address Line | 603-2 N PROGRESS AVE STE 400 SILOAM SPRINGS CARDIOLOGY
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City | SILOAM SPRINGS
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State | AR
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Zip | 72761-4401
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Country | US
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Telephone | 479-215-3060
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Fax | 479-549-4044
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Provider Business Mailing Address
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Address Line | 603-2 N PROGRESS AVE STE 400 SILOAM SPRINGS CARDIOLOGY
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City | SILOAM SPRINGS
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State | AR
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Zip | 72761-4401
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Country | US
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Telephone | 479-215-3060
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Fax | 479-549-4044
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 25MA05045100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | E-7929
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 30125
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License Number State | OK
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Taxonomy #4
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 9701266
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 0101050127
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License Number State | VA
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Taxonomy #6
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD044769E
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License Number State | PA
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