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General NPI Number Information
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NPI Number | 1952480139
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Entity Type | Individual
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Provider Name | MARTIN D KATZ MD
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Gender | Male
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 08/06/2012
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Provider Practice Location Address
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Address Line | 190 JAMES RIVER RD
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City | SCOTTSVILLE
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State | VA
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Zip | 24590-3812
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Country | US
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Telephone | 434-286-2025
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Fax | 434-321-5259
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Provider Business Mailing Address
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Address Line | 190 JAMES RIVER RD
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City | SCOTTSVILLE
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State | VA
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Zip | 24590-3812
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Country | US
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Telephone | 434-286-2025
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 11227
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | 0101222055
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License Number State | VA
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