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General NPI Number Information
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NPI Number | 1013024140
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Entity Type | Individual
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Provider Name | WILLIAM MARC KATZ MD
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Gender | Male
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 06/22/2010
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Provider Practice Location Address
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Address Line | 2093 HEALTH DR SW STE 200
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City | WYOMING
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State | MI
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Zip | 49519
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Country | US
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Telephone | 616-459-3158
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Fax | 616-819-2222
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Provider Business Mailing Address
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Address Line | 1900 WEALTHY ST SE STE 150
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City | GRAND RAPIDS
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State | MI
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Zip | 49506-2969
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Country | US
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Telephone | 616-459-3158
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Fax | 616-459-4714
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 4301044867
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 4301044867
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | 4301044867
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License Number State | MI
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