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NPI Code Detail

MEDICARE: TRESE BUTCHER

MEDICARE:   TRESE  BUTCHER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1295267755
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRESE BUTCHER
Provider Business Mailing Address
First Line : 151 V ST NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20002
Country : US
Telephone Number : 202-375-9902
Fax Number :
Provider Business Practice Location Address
First Line : 1010 VERMONT AVE NW STE 1003
Second Line :
City : WASHINGTON
State : DC
Zip : 20005-4927
Country : US
Telephone Number : 202-698-2000
Fax Number : 877-763-2165
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2017
Last Update Date : 04/03/2017

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Directions to “ TRESE BUTCHER ” Practice Location

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