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General NPI Number Information
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NPI Number | 1396034815
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Entity Type | Individual
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Provider Name | SHARI JILL KATLOWITZ M.S.
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Gender | Female
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Dates
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Enumeration Date | 04/05/2011
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Last Update Date | 12/18/2013
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Provider Practice Location Address
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Address Line | 1058 NEW MCNEIL AVE
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City | LAWRENCE
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State | NY
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Zip | 11559-1726
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Country | US
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Telephone | 917-923-1776
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Fax | 718-868-2299
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Provider Business Mailing Address
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Address Line | 1058 NEW MCNEIL AVE
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City | LAWRENCE
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State | NY
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Zip | 11559-1726
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Country | US
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Telephone | 917-923-1776
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Fax | 718-868-2299
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 359168911
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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