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General NPI Number Information
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NPI Number | 1609431980
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Entity Type | Organization
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Legal Business Name | M.A. KATZ PSYCHOLOGICAL SERVICES, INC
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Dates
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Enumeration Date | 05/02/2019
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Last Update Date | 05/02/2019
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Provider Practice Location Address
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Address Line | 830 HILLVIEW CT STE 260
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City | MILPITAS
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State | CA
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Zip | 95035-4553
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Country | US
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Telephone | 925-989-5643
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Fax |
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Provider Business Mailing Address
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Address Line | 5078 S FORESTDALE CIR
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City | DUBLIN
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State | CA
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Zip | 94568-8747
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Country | US
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Telephone | 925-989-5643
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARC KATZ
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Credential |
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Telephone | 925-989-5643
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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