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General NPI Number Information
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NPI Number | 1962559021
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Entity Type | Individual
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Provider Name | MATTHEW CHARLES KATUS M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 8301 US HIGHWAY 26
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City | BAYARD
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State | NE
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Zip | 69334-1746
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Country | US
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Telephone | 210-452-1298
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Fax |
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Provider Business Mailing Address
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Address Line | 8301 US HIGHWAY 26
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City | BAYARD
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State | NE
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Zip | 69334-1746
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Country | US
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Telephone | 210-452-1298
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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 | 207ZB0001X
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Taxonomy Name | Blood Banking & Transfusion Medicine Physician
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License Number | 22171
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 207ZN0500X
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Taxonomy Name | Neuropathology Physician
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License Number | 22171
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 22171
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License Number State | NE
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