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General NPI Number Information
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NPI Number | 1992594873
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Entity Type | Individual
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Provider Name | JACOB THOMAS BUTTON CPHT
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Gender | Male
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Dates
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Enumeration Date | 05/06/2025
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 305 COOPER POINT RD NW
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City | OLYMPIA
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State | WA
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Zip | 98502-4436
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Country | US
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Telephone | 360-754-8014
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Fax |
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Provider Business Mailing Address
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Address Line | 300 KENYON ST NW APT N7
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City | OLYMPIA
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State | WA
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Zip | 98502-2781
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Country | US
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Telephone | 360-884-4890
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | VA61685686
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | CPT-0015544
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License Number State | OR
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