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General NPI Number Information
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NPI Number | 1811994999
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Entity Type | Individual
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Provider Name | MICHAEL J. KATIN MD
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Gender | Male
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Dates
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Enumeration Date | 07/05/2005
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 115 CASS AVE UNIT 1
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City | WOONSOCKET
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State | RI
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Zip | 02895-4705
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Country | US
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Telephone | 401-356-1701
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Fax | 401-356-4537
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Provider Business Mailing Address
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Address Line | PO BOX 947395
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City | ATLANTA
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State | GA
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Zip | 30394-7395
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Country | US
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Telephone | 401-356-1701
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Fax | 401-356-4537
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | ME0026427
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | MD11285
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | G26661
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 4877
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License Number State | NV
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Taxonomy #5
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 2001-01567
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License Number State | NC
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Taxonomy #6
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Taxonomy Code | 2085R0203X
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Taxonomy Name | Therapeutic Radiology Physician
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License Number | ME26427
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 127667-1
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License Number State | NY
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