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General NPI Number Information
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NPI Number | 1902161862
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Entity Type | Individual
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Provider Name | MR. MICHAEL JEFFREY KATZ
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Gender | Male
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Dates
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Enumeration Date | 07/06/2012
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Last Update Date | 07/06/2012
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Provider Practice Location Address
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Address Line | 333 E 4TH ST
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City | NEW YORK
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State | NY
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Zip | 10009-6912
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Country | US
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Telephone | 212-777-4103
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Fax |
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Provider Business Mailing Address
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Address Line | 966 E 31ST ST
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City | BROOKLYN
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State | NY
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Zip | 11210-3832
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Country | US
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Telephone | 718-473-5329
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | NY
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