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General NPI Number Information
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NPI Number | 1972815231
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Entity Type | Individual
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Provider Name | MICHELLE WEISS KATZOW MD
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Gender | Female
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Dates
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Enumeration Date | 07/02/2010
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 410 LAKEVILLE RD STE 108
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City | NEW HYDE PARK
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State | NY
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Zip | 11042-1102
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Country | US
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Telephone | 516-465-5215
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Fax | 516-465-5399
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Provider Business Mailing Address
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Address Line | 34TH ST. & CIVIC CENTER BLVD THE CHILDREN'S HOSPITAL OF PHILADELPHIA, ROOM 9NW55
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City | PHILADELPHIA
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State | PA
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Zip | 19104-4399
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Country | US
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Telephone | 215-590-2437
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Fax | 215-590-2768
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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 | 2080B0002X
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Taxonomy Name | Pediatric Obesity Medicine Physician
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License Number | 270333
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MT197040
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License Number State | PA
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