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General NPI Number Information
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NPI Number | 1780651745
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Entity Type | Individual
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Provider Name | JEFFREY H KATZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/08/2006
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 220 MAIN ST STE 1A
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City | OXFORD
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State | CT
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Zip | 06478-1065
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Country | US
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Telephone | 203-888-5527
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Fax |
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Provider Business Mailing Address
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Address Line | 67 MAPLE AVE
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City | DERBY
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State | CT
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Zip | 06418-1328
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Country | US
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 29236
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License Number State | CT
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