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General NPI Number Information
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NPI Number | 1740589944
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Entity Type | Organization
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Legal Business Name | SHMUEL E KATZ MD PA
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Dates
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Enumeration Date | 03/28/2011
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Last Update Date | 03/28/2011
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Provider Practice Location Address
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Address Line | 100 NW 170TH ST SUITE 105
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33169-5513
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Country | US
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Telephone | 305-654-5069
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Fax | 305-654-5217
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Provider Business Mailing Address
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Address Line | 10185 COLLINS AVE APT 418
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City | BAL HARBOUR
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State | FL
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Zip | 33154-1606
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Country | US
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Telephone | 305-864-7770
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Fax | 305-864-7272
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHMUEL E KATZ
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Credential | MD
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Telephone | 305-864-7770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME0038847
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License Number State | FL
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