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General NPI Number Information
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NPI Number | 1851589378
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Entity Type | Organization
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Legal Business Name | MARC A. KATZ, DPM, PA
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Dates
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Enumeration Date | 10/10/2007
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Last Update Date | 09/23/2014
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Provider Practice Location Address
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Address Line | 2919 W SWANN AVE STE 203
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City | TAMPA
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State | FL
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Zip | 33609-4038
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Country | US
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Telephone | 813-875-0555
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Fax | 866-313-3106
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Provider Business Mailing Address
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Address Line | PO BOX 272284
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City | TAMPA
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State | FL
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Zip | 33688-2284
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Country | US
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Telephone | 813-875-0555
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Fax | 866-313-3106
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. MARC A KATZ
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Credential | DPM
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Telephone | 813-875-0555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PO2532
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | PO2532
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | PO2532
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License Number State | FL
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