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Individual
RANDY WAYNE BUTLER
Active
Individual
RANDY WAYNE BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2968
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28102272
CIGNA ID
TX
01
—
4260714
AETNA ID
TX
01
—
601265
BLUE CROSS ID
TX
01
—
752076527
TAX ID
TX
Enumeration date
05/10/2006
Last updated
05/07/2010
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