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General NPI Number Information
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NPI Number | 1851565923
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Entity Type | Organization
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Legal Business Name | PATRICIA KATZ,LCSW PA
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Dates
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Enumeration Date | 04/18/2008
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Last Update Date | 04/18/2008
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Provider Practice Location Address
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Address Line | 10031 PINES BLVD SUITE 240
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6179
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Country | US
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Telephone | 954-801-8174
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Fax | 954-217-8547
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Provider Business Mailing Address
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Address Line | 762 HERITAGE DR
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City | WESTON
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State | FL
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Zip | 33326-4539
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Country | US
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Telephone | 954-801-8174
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Fax | 954-217-8547
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. PAT J KATZ
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Credential | LCSW
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Telephone | 954-801-8174
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW6007
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License Number State | FL
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