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General NPI Number Information
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NPI Number | 1346478583
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Entity Type | Individual
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Provider Name | JORDAN ALLEN KATZ DPM
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Gender | Male
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Dates
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Enumeration Date | 06/25/2009
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 475 BILTMORE WAY STE 108
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City | CORAL GABLES
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State | FL
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Zip | 33134-5724
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Country | US
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Telephone | 305-442-1780
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Fax | 305-442-9505
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Provider Business Mailing Address
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Address Line | 8200 NW 27TH ST STE 108
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City | DORAL
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State | FL
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Zip | 33122-1902
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Country | US
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Telephone | 305-442-1780
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Fax | 786-662-3899
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | SC006119
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | PO4530
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License Number State | FL
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