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General NPI Number Information
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NPI Number | 1073805701
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Entity Type | Organization
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Legal Business Name | LEO F KATZ INC
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Dates
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Enumeration Date | 05/13/2011
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Last Update Date | 02/16/2016
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Provider Practice Location Address
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Address Line | 771 NEW YORK AVE
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City | HUNTINGTON
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State | NY
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Zip | 11743-4221
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Country | US
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Telephone | 631-673-5820
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Fax |
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Provider Business Mailing Address
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Address Line | 771 NEW YORK AVE
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City | HUNTINGTON
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State | NY
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Zip | 11743-4221
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Country | US
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Telephone | 631-673-5820
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. LEO F KATZ
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Credential | HIS ACA
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Telephone | 631-673-5820
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 15000001731
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License Number State | NY
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