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General NPI Number Information
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NPI Number | 1750377933
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Entity Type | Individual
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Provider Name | STUART ALAN KATZ DMD
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Gender | Male
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Dates
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Enumeration Date | 09/23/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1 BROADWAY SUITE 101
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City | ELMWOOD PARK
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State | NJ
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Zip | 07407-1842
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Country | US
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Telephone | 201-794-3344
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Fax | 201-794-0454
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Provider Business Mailing Address
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Address Line | 1 BROADWAY SUITE 101
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City | ELMWOOD PARK
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State | NJ
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Zip | 07407-1842
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Country | US
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Telephone | 201-794-3344
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Fax | 201-794-0454
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 22DI01584700
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License Number State | NJ
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