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General NPI Number Information
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NPI Number | 1447480793
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Entity Type | Organization
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Legal Business Name | KATZ ORTHOPAEDIC INSTITUTE, LLC
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Dates
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Enumeration Date | 07/21/2009
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Last Update Date | 07/21/2009
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Provider Practice Location Address
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Address Line | 14153 YOSEMITE DR SUITE 103
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City | HUDSON
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State | FL
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Zip | 34667-8060
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Country | US
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Telephone | 727-869-2663
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 919295
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City | ORLANDO
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State | FL
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Zip | 32891-9295
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Country | US
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Telephone | 727-869-2663
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. RICHARD J KATZ
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Credential | M.D.
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Telephone | 727-869-2663
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | ME0064682
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License Number State | FL
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