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General NPI Number Information
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NPI Number | 1124791827
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Entity Type | Organization
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Legal Business Name | SUSAN C KATZ M.D.
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Dates
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Enumeration Date | 07/28/2021
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Last Update Date | 07/28/2021
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Provider Practice Location Address
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Address Line | 2980 E. VIA ALCALDE
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City | TUCSON
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State | AZ
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Zip | 85718
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Country | US
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Telephone | 520-320-5030
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Fax | 520-348-2964
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Provider Business Mailing Address
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Address Line | 2980 E. VIA ALCALDE
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City | TUCSON
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State | AZ
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Zip | 85718
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Country | US
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Telephone | 520-320-5030
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Fax | 520-348-2964
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Authorized Official
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Title or Position | SOLE PROP. PRIVATE PRACTICE
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Name | SUSAN C KATZ
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Credential | M.D.
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Telephone | 520-320-5030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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