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General NPI Number Information
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NPI Number | 1972913085
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Entity Type | Organization
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Legal Business Name | DR. MORRIE KATZ
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Dates
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Enumeration Date | 04/29/2014
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Last Update Date | 04/29/2014
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Provider Practice Location Address
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Address Line | 420 LAKE COOK RD 116
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City | DEERFIELD
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State | IL
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Zip | 60015-5646
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Country | US
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Telephone | 773-348-8637
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Fax | 847-835-0740
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Provider Business Mailing Address
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Address Line | 1151 HOHLFELDER RD
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City | GLENCOE
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State | IL
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Zip | 60022-1018
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Country | US
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Telephone | 773-348-8637
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Fax | 847-835-0740
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Authorized Official
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Title or Position | PODIATRIST
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Name | DR. MORRIE KATZ
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Credential | D.P.M
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Telephone | 773-348-8637
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 016-003245
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License Number State | IL
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