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General NPI Number Information
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NPI Number | 1447363213
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Entity Type | Organization
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Legal Business Name | EVAN KATZ MDPA
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 07/19/2007
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Provider Practice Location Address
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Address Line | 6280 SUNSET DR STE 609
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4875
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Country | US
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Telephone | 305-661-5440
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Fax | 305-662-4178
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Provider Business Mailing Address
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Address Line | 6280 SUNSET DR STE 609
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4875
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Country | US
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Telephone | 305-661-5440
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Fax | 305-662-4178
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EVAN KATZ
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Credential | M.D.
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Telephone | 305-661-5440
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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 | ME7904
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License Number State | FL
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