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General NPI Number Information
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NPI Number | 1023722022
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Entity Type | Organization
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Legal Business Name | KATAN ORTHOPEDICS & SPINE SURGERY LLC
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Dates
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Enumeration Date | 01/13/2023
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Last Update Date | 01/13/2023
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Provider Practice Location Address
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Address Line | 3475 SHERIDAN ST STE 101
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City | HOLLYWOOD
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State | FL
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Zip | 33021-3633
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Country | US
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Telephone | 646-346-4304
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Fax |
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Provider Business Mailing Address
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Address Line | 17801 N BAY RD APT 501
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City | SUNNY ISLES BEACH
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State | FL
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Zip | 33160-1907
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Country | US
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Telephone | 646-346-4304
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JACOB KATANOV
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Credential | PA
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Telephone | 646-346-4304
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number |
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License Number State |
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