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General NPI Number Information
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NPI Number | 1568978864
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Entity Type | Organization
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Legal Business Name | KATZEN MEDICAL ASSOCIATES, PC
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Dates
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Enumeration Date | 12/21/2017
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 7106 RIDGE RD
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City | ROSEDALE
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State | MD
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Zip | 21237-0000
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Country | US
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Telephone | 410-866-2022
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Fax | 410-866-2031
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Provider Business Mailing Address
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Address Line | 1209 YORK RD
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City | LUTHERVILLE
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State | MD
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Zip | 21093-6220
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Country | US
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Telephone | 410-821-8490
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Fax | 410-821-9495
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | THOMAS DUDLEY
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Credential |
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Telephone | 920-915-5202
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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 |
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License Number State |
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