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General NPI Number Information
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NPI Number | 1992245336
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Entity Type | Organization
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Legal Business Name | BUTLER PERFORMANCE PHYSICAL THERAPY
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Dates
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Enumeration Date | 03/05/2017
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Last Update Date | 03/05/2017
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Provider Practice Location Address
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Address Line | 93 WOOD RUN
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City | SANFORD
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State | NC
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Zip | 27332-6693
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Country | US
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Telephone | 304-281-8090
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Fax |
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Provider Business Mailing Address
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Address Line | 93 WOOD RUN
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City | SANFORD
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State | NC
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Zip | 27332-6693
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Country | US
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Telephone | 304-281-8090
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | SARA BUTLER
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Credential | PT, DPT
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Telephone | 304-281-8090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | P14962
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License Number State | NC
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