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General NPI Number Information
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NPI Number | 1891013132
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Entity Type | Individual
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Provider Name | MICHAEL LEONARD KATZ RPH
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Gender | Male
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Dates
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Enumeration Date | 05/11/2010
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Last Update Date | 05/11/2010
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Provider Practice Location Address
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Address Line | 52 BOSTON ST
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City | LYNN
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State | MA
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Zip | 01904-2538
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Country | US
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Telephone | 781-581-1681
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Fax |
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Provider Business Mailing Address
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Address Line | 3 SANDIE LN
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City | MARBLEHEAD
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State | MA
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Zip | 01945-2020
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Country | US
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Telephone | 781-639-4456
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 17250
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License Number State | MA
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