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General NPI Number Information
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NPI Number | 1790058501
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Entity Type | Organization
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Legal Business Name | LOUIS J KATZMAN MD A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 02/10/2012
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Last Update Date | 04/30/2013
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Provider Practice Location Address
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Address Line | 6071 VIA REGLA
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City | SAN DIEGO
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State | CA
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Zip | 92122-3924
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Country | US
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Telephone | 858-457-1212
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Fax | 619-615-2249
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Provider Business Mailing Address
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Address Line | 6071 VIA REGLA
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City | SAN DIEGO
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State | CA
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Zip | 92122-3924
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Country | US
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Telephone | 858-457-1212
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Fax | 619-615-2249
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Authorized Official
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Title or Position | PRESIDENT/PROVIDER
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Name | DR. LOUIS KATZMAN
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Credential | MD
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Telephone | 858-457-1973
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | G27392
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | G27392
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License Number State | CA
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