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General NPI Number Information
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NPI Number | 1750393591
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Entity Type | Individual
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Provider Name | JOSHUA A KATZ MD
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Gender | Male
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 04/14/2014
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Provider Practice Location Address
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Address Line | 6029 WALNUT GROVE RD SUITE 404
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City | MEMPHIS
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State | TN
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Zip | 38120-2112
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Country | US
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Telephone | 901-726-1056
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Fax | 901-726-5867
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Provider Business Mailing Address
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Address Line | 6029 WALNUT GROVE RD SUITE 404
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City | MEMPHIS
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State | TN
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Zip | 38120-2112
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Country | US
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Telephone | 901-726-1056
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Fax | 901-726-5867
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | D59199
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | D59199
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 49286
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | 49286
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License Number State | TN
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