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General NPI Number Information
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NPI Number | 1164453981
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Entity Type | Individual
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Provider Name | ALEXANDER KATZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 11/29/2022
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Provider Practice Location Address
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Address Line | 260 NW PEACOCK BLVD STE 201
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34986-2349
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Country | US
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Telephone | 772-446-4230
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Fax | 772-446-4758
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Provider Business Mailing Address
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Address Line | 260 NW PEACOCK BLVD STE 201
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34986-2349
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Country | US
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Telephone | 772-446-4230
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Fax | 772-446-4758
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | ME95696
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License Number State | FL
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