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General NPI Number Information
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NPI Number | 1346204039
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Entity Type | Individual
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Provider Name | ADIL OMAR KATABAY MD
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Gender | Male
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Dates
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Enumeration Date | 04/12/2006
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Last Update Date | 09/29/2021
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Provider Practice Location Address
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Address Line | 1065 DELAWARE AVE SUITE A
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City | MARION
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State | OH
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Zip | 43302
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Country | US
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Telephone | 740-387-7246
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Fax | 740-387-7244
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Provider Business Mailing Address
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Address Line | 1065 DELAWARE AVE SUITE A
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City | MARION
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State | OH
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Zip | 43302
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Country | US
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Telephone | 740-387-7246
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Fax | 740-387-7244
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 35080847
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 246RM2200X
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Taxonomy Name | Medical Laboratory Technician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 35080847
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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