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NPI Code Detail

MEDICARE: DYLAN BUTLER

MEDICARE:   DYLAN  BUTLER
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1568043347
Entity Type Code : Individual
Provider Name (Legal Business Name) : DYLAN BUTLER
Provider Business Mailing Address
First Line : 12 E EXCHANGE ST STE 600
Second Line :
City : AKRON
State : OH
Zip : 44308-1519
Country : US
Telephone Number : 234-334-3293
Fax Number :
Provider Business Practice Location Address
First Line : 2006 WEST BLVD APT 16
Second Line :
City : CLEVELAND
State : OH
Zip : 44102-3659
Country : US
Telephone Number : 216-612-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2021
Last Update Date : 04/14/2021

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Directions to “ DYLAN BUTLER ” Practice Location

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