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General NPI Number Information
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NPI Number | 1124327507
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Entity Type | Individual
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Provider Name | ZIAD A KATRIB MD
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Gender | Male
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Dates
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Enumeration Date | 03/24/2011
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Last Update Date | 01/11/2018
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Provider Practice Location Address
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Address Line | 401 E CHESTNUT ST UNIT 170
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City | LOUISVILLE
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State | KY
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Zip | 40202-5701
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Country | US
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Telephone | 502-583-3687
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Fax | 502-588-7840
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Provider Business Mailing Address
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Address Line | PO BOX 909
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City | LOUISVILLE
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State | KY
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Zip | 40201
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Country | US
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Telephone | 502-588-0329
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Fax | 502-588-0326
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 28135
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 50689
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License Number State | KY
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