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General NPI Number Information
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NPI Number | 1285727289
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Entity Type | Organization
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Legal Business Name | STEWART J KATZ MD CARDIOVASCULAR SPECIALISTS INC PC
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 12/22/2011
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Provider Practice Location Address
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Address Line | 1705 E 19TH ST SUITE 410
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City | TULSA
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State | OK
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Zip | 74104-5405
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Country | US
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Telephone | 918-744-9400
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Fax | 918-744-9416
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Provider Business Mailing Address
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Address Line | 1705 E 19TH ST SUITE 410
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City | TULSA
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State | OK
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Zip | 74104-5405
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Country | US
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Telephone | 918-744-9400
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Fax | 918-744-9416
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Authorized Official
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Title or Position | OWNER
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Name | STEWART JAY KATZ
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Credential | MD
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Telephone | 918-744-9400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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