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General NPI Number Information
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NPI Number | 1972023042
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Entity Type | Individual
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Provider Name | LANA OLIVIA BUTNER ND, LAC
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Gender | Female
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Dates
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Enumeration Date | 06/21/2017
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Last Update Date | 08/06/2021
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Provider Practice Location Address
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Address Line | 7 W 22ND ST FL 8
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City | NEW YORK
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State | NY
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Zip | 10010-5142
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Country | US
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Telephone | 929-306-6928
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Fax | 929-419-9061
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Provider Business Mailing Address
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Address Line | 77 W 24TH ST APT 6E
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City | NEW YORK
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State | NY
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Zip | 10010-3218
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Country | US
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Telephone | 347-935-1575
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 16-1590
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 005957-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 000596
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License Number State | CT
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