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General NPI Number Information
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NPI Number | 1689485823
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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 | 01/16/2025
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 21 CROSSROADS DR STE 425
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City | OWINGS MILLS
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State | MD
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Zip | 21117-5489
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Country | US
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Telephone | 443-738-4270
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Fax | 410-339-7326
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Provider Business Mailing Address
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Address Line | 21 CROSSROADS DR STE 425
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City | OWINGS MILLS
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State | MD
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Zip | 21117-5489
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Country | US
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Telephone | 443-738-4270
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Fax | 410-339-7326
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | GEORGE L NEAL
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Credential |
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Telephone | 469-214-0144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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