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NPI 1487978359

NPI 1487978359 : MATTHEW SAMUEL JOSEPH KATZ MD : NASHVILLE, TN

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General NPI Number Information
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    NPI Number           |    1487978359
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    Entity Type          |    Individual 
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    Provider Name        |    MATTHEW SAMUEL JOSEPH KATZ MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/22/2010
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    Last Update Date     |    01/28/2020
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Provider Practice Location Address
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    Address Line         |    342 22ND AVE N 
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    City                 |    NASHVILLE
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    State                |    TN
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    Zip                  |    37203
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    Country              |    US
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    Telephone            |    615-327-2001
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    Fax                  |    615-234-2015
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Provider Business Mailing Address
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    Address Line         |    PO BOX 158281 
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    City                 |    NASHVILLE
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    State                |    TN
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    Zip                  |    37215-8281
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    Country              |    US
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    Telephone            |    615-306-1075
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    Fax                  |    
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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        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    MD455934
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    D0077731
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    License Number State |    MD
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Taxonomy #3
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    Taxonomy Code        |    207WX0107X
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    Taxonomy Name        |    Retina Specialist (Ophthalmology) Physician
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    License Number       |    56785
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    License Number State |    TN
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