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General NPI Number Information
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NPI Number | 1922695162
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Entity Type | Organization
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Legal Business Name | MICHAEL N KATZOFF MD LLC
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Dates
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Enumeration Date | 12/22/2020
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Last Update Date | 12/22/2020
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Provider Practice Location Address
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Address Line | 4131 W LOOMIS RD
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City | GREENFIELD
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State | WI
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Zip | 53221-2057
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Country | US
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Telephone | 414-817-3680
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Fax |
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Provider Business Mailing Address
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Address Line | 4131 W LOOMIS RD
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City | GREENFIELD
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State | WI
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Zip | 53221-2057
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Country | US
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Telephone | 414-817-3680
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | MICHAEL N KATZOFF
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Credential | MD
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Telephone | 414-350-6808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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