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General NPI Number Information
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NPI Number | 1285784884
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Entity Type | Individual
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Provider Name | DANIEL EDWARD KATZ PT, LAC
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Gender | Male
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 259 MAIN ST
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City | YARMOUTH
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State | ME
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Zip | 04096-6723
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Country | US
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Telephone | 207-780-8860
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Fax |
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Provider Business Mailing Address
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Address Line | 100 GANNETT DR STE C
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City | SOUTH PORTLAND
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State | ME
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Zip | 04106-5900
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Country | US
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Telephone | 207-828-0361
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Fax | 207-874-1483
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC281
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License Number State | ME
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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 | PT3116
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License Number State | ME
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