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NPI 1730153222

NPI 1730153222 : STEVEN KATZ D.D.S. : FAR ROCKAWAY, NY

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General NPI Number Information
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    NPI Number           |    1730153222
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    Entity Type          |    Individual 
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    Provider Name        |    STEVEN KATZ D.D.S.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/14/2006
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    Last Update Date     |    06/08/2010
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Provider Practice Location Address
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    Address Line         |    711B SEAGIRT AVE DENTAL OFFICE
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    City                 |    FAR ROCKAWAY
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    State                |    NY
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    Zip                  |    11691-5730
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    Country              |    US
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    Telephone            |    718-471-3366
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    Fax                  |    718-471-3366
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Provider Business Mailing Address
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    Address Line         |    NACHAL DOLEV # 44 / 2 
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    City                 |    RAMAT BEIT SHEMESH
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    State                |    ISRAEL
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    Zip                  |    99621
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    Country              |    IL
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    044979
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    License Number State |    NY
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