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General NPI Number Information
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NPI Number | 1467497586
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Entity Type | Individual
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Provider Name | EDWARD J KATA JR. M.D
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Gender | Male
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Dates
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Enumeration Date | 06/20/2006
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Last Update Date | 12/04/2020
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Provider Practice Location Address
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Address Line | 2400 N ORANGE BLOSSOM TRL STE 102
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City | KISSIMMEE
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State | FL
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Zip | 34744-2307
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Country | US
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Telephone | 407-944-4947
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Fax | 407-874-7802
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Provider Business Mailing Address
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Address Line | 2400 N ORANGE BLOSSOM TRL STE 102
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City | KISSIMMEE
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State | FL
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Zip | 34744-2307
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Country | US
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Telephone | 407-944-4947
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Fax | 407-874-7802
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | ME66751
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License Number State | FL
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