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General NPI Number Information
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NPI Number | 1235146572
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Entity Type | Individual
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Provider Name | MYRA KATZ PA
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Gender | Female
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 05/09/2016
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Provider Practice Location Address
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Address Line | 5601 LOCH RAVEN BLVD SMYTH SUITE 302
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City | BALTIMORE
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State | MD
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Zip | 21239
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Country | US
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Telephone | 443-444-5711
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Fax |
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Provider Business Mailing Address
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Address Line | 7106 PHEASANT CROSS DR
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City | BALTIMORE
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State | MD
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Zip | 21209-1024
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Country | US
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Telephone | 410-484-2927
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | C01263
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License Number State | MD
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