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General NPI Number Information
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NPI Number | 1669750709
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Entity Type | Organization
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Legal Business Name | LEO F KATZ INC
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Dates
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Enumeration Date | 07/22/2011
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Last Update Date | 07/27/2011
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Provider Practice Location Address
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Address Line | 940 MONTAUK HWY
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City | COPIAGUE
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State | NY
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Zip | 11726-4901
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Country | US
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Telephone | 631-673-5820
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Fax |
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Provider Business Mailing Address
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Address Line | 940 MONTAUK HWY
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City | COPIAGUE
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State | NY
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Zip | 11726-4901
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Country | US
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Telephone | 631-673-5820
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Fax |
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Authorized Official
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Title or Position | MANAGER/AUDIOLOGIST
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Name | DR. FARRAH ANN KATZ
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Credential | AU.D
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Telephone | 631-673-5820
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 002350
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License Number State | NY
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