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General NPI Number Information
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NPI Number | 1205347283
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Entity Type | Organization
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Legal Business Name | KATZ REHAB SERVICES, P.A.
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Dates
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Enumeration Date | 10/18/2017
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Last Update Date | 10/18/2017
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Provider Practice Location Address
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Address Line | 315 W WASHINGTON AVE
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City | STERLING
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State | KS
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Zip | 67579-1615
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Country | US
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Telephone | 620-204-6116
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Fax | 620-204-6117
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Provider Business Mailing Address
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Address Line | 200 W DOUGLAS AVE STE 1040
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City | WICHITA
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State | KS
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Zip | 67202-3017
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Country | US
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Telephone | 316-263-0003
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Fax | 316-263-1241
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL SHANE KATZ
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Credential |
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Telephone | 316-263-0003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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