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General NPI Number Information
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NPI Number | 1528181591
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Entity Type | Organization
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Legal Business Name | MONTGOMERY COLORECTAL SURGERY LLC
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 08/06/2008
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Provider Practice Location Address
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Address Line | 9715 MEDICAL CENTER DR STE 233
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City | ROCKVILLE
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State | MD
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Zip | 20850-6302
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Country | US
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Telephone | 240-403-0415
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Fax | 240-403-0417
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Provider Business Mailing Address
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Address Line | 9715 MEDICAL CENTER DR STE 233
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City | ROCKVILLE
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State | MD
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Zip | 20850-6302
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Country | US
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Telephone | 240-403-0415
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Fax | 240-403-0417
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. JOSHUA A KATZ
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Credential | MD
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Telephone | 240-403-0415
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | MD59199
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License Number State |
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