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General NPI Number Information
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NPI Number | 1205890977
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Entity Type | Individual
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Provider Name | LEON VICTOR KATZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/12/2006
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Last Update Date | 12/27/2024
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Provider Practice Location Address
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Address Line | 430 SHORE ROAD SUITE B7D
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City | LONG BEACH
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State | NY
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Zip | 11561
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Country | US
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Telephone | 484-343-7086
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Fax |
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Provider Business Mailing Address
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Address Line | 430 SHORE ROAD SUITE B7D
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City | LONG BEACH
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State | NY
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Zip | 11561-3221
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Country | US
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Telephone | 567-666-4666
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Fax | 516-266-1165
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 224351
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License Number State | NY
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