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General NPI Number Information
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NPI Number | 1497891030
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Entity Type | Individual
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Provider Name | LAURIE M KATZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 05/04/2010
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Provider Practice Location Address
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Address Line | 2000 WASHINGTON ST, #341 NEWTON WELLESLEY ORTHOPEDIC ASSOC., INC
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City | NEWTON
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State | MA
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Zip | 02462-1602
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Country | US
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Telephone | 617-964-0024
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Fax | 617-964-6374
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Provider Business Mailing Address
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Address Line | 2000 WASHINGTON ST, #341 NEWTON WELLESLEY ORTHOPEDIC ASSOC., INC.
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City | NEWTON
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State | MA
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Zip | 02462
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Country | US
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Telephone | 617-964-0024
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Fax | 617-964-6374
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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 | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 230911
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License Number State | MA
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