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NPI 1295726388

NPI 1295726388 : BARRY M KATZEN DDS : BRONX, NY

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General NPI Number Information
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    NPI Number           |    1295726388
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    Entity Type          |    Individual 
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    Provider Name        |    BARRY M KATZEN DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/29/2005
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    Last Update Date     |    05/07/2025
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Provider Practice Location Address
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    Address Line         |    4422 3RD AVE 
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    City                 |    BRONX
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    State                |    NY
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    Zip                  |    10457-2545
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    Country              |    US
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    Telephone            |    718-960-9000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    138 E 50TH ST APT 37B 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10022-7883
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    Country              |    US
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    Telephone            |    415-840-2475
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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        |    1223X0400X
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    Taxonomy Name        |    Orthodontics and Dentofacial Orthopedics Dentistry
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    License Number       |    058751
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    License Number State |    OR
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