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General NPI Number Information
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NPI Number | 1922233600
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Entity Type | Individual
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Provider Name | THEODORE LAWRENCE KATNER M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/24/2009
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Last Update Date | 04/08/2022
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Provider Practice Location Address
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Address Line | 1301 PLEASANT VALLEY RD SUITE 500C
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City | OWENSBORO
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State | KY
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Zip | 42303-9774
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Country | US
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Telephone | 270-417-7830
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Fax | 270-417-7839
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Provider Business Mailing Address
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Address Line | 1 MEDICAL CENTER DR
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City | MORGANTOWN
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State | WV
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Zip | 26506-1200
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Country | US
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Telephone | 304-598-4820
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 27089
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | R2298
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | R2298
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | TP058
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License Number State | KY
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