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General NPI Number Information
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NPI Number | 1619152352
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Entity Type | Organization
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Legal Business Name | JEFFREY H. KATZ, D.P.M., INC.
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Dates
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Enumeration Date | 12/31/2007
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Last Update Date | 10/26/2023
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Provider Practice Location Address
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Address Line | 1881 CALIFORNIA AVE SUITE 102
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City | CORONA
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State | CA
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Zip | 92881-7299
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Country | US
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Telephone | 951-735-8806
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Fax | 951-735-6813
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Provider Business Mailing Address
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Address Line | 6200 E CANYON RIM RD SUITE 111E
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City | ANAHEIM
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State | CA
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Zip | 92807-4317
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Country | US
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Telephone | 714-974-3338
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Fax | 714-974-7683
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Authorized Official
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Title or Position | PODIATRIST
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Name | DR. JEFFREY H. KATZ
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Credential | D.P.M.
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Telephone | 714-974-3338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | E3438
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License Number State | CA
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