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General NPI Number Information
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NPI Number | 1215115654
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Entity Type | Individual
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Provider Name | DAVID JOHN KATS RD, LDN
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Gender | Male
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Dates
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Enumeration Date | 02/07/2008
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Last Update Date | 09/21/2022
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Provider Practice Location Address
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Address Line | 11600 S KEDZIE AVE STE 285
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City | MERRIONETTE PARK
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State | IL
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Zip | 60803-6307
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Country | US
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Telephone | 708-272-4172
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Fax | 847-723-8612
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Provider Business Mailing Address
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Address Line | 29373 NETWORK PL
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City | CHICAGO
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State | IL
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Zip | 60673-1293
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Country | US
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Telephone | 847-390-5900
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Fax |
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 164.003620
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License Number State | IL
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