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General NPI Number Information
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NPI Number | 1124393897
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Entity Type | Organization
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Legal Business Name | KATZ7 MD, LLC
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Dates
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Enumeration Date | 03/14/2012
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Last Update Date | 03/14/2012
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Provider Practice Location Address
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Address Line | 19 E 80TH ST
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City | NEW YORK
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State | NY
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Zip | 10075-0117
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Country | US
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Telephone | 570-730-0296
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Fax | 732-416-9436
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Provider Business Mailing Address
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Address Line | 35 E 85TH ST #10C
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City | NEW YORK
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State | NY
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Zip | 10028-0954
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Country | US
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Telephone | 570-730-0296
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Fax | 732-416-9436
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HOWARD V KATZ
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Credential | M.D.,
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Telephone | 570-730-0296
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 187751
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License Number State | NY
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