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General NPI Number Information
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NPI Number | 1396876546
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Entity Type | Organization
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Legal Business Name | ALEX S. KATZ DPM, LLC
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 15028 UNION TPKE SUITE 150
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City | FLUSHING
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State | NY
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Zip | 11367-3900
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Country | US
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Telephone | 718-380-8008
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Fax | 718-380-2229
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Provider Business Mailing Address
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Address Line | 15028 UNION TPKE SUITE 150
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City | FLUSHING
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State | NY
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Zip | 11367-3900
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Country | US
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Telephone | 718-380-8008
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Fax | 718-380-2229
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALEX S. KATZ
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Credential | DPM
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Telephone | 718-380-8008
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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 | N005336
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License Number State | NY
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