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General NPI Number Information
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NPI Number | 1346511219
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Entity Type | Organization
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Legal Business Name | RICHARD D KATZ DDS PA
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Dates
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Enumeration Date | 01/24/2012
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Last Update Date | 01/24/2012
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Provider Practice Location Address
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Address Line | 43 OLD SOLOMONS ISLAND RD SUITE 103
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City | ANNAPOLIS
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State | MD
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Zip | 21401-3850
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Country | US
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Telephone | 410-266-8250
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Fax | 410-266-1025
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Provider Business Mailing Address
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Address Line | 43 OLD SOLOMONS ISLAND RD SUITE 103
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City | ANNAPOLIS
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State | MD
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Zip | 21401-3850
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Country | US
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Telephone | 410-266-8250
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Fax | 410-266-1025
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. DONNA LYNN FOY
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Credential |
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Telephone | 410-266-8250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 6262
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License Number State | MD
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