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NPI 1982639027

NPI 1982639027 : STEVEN KATKIN PHD : MILFORD, OH

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General NPI Number Information
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    NPI Number           |    1982639027
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    Entity Type          |    Individual 
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    Provider Name        |    STEVEN KATKIN PHD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/11/2006
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    Last Update Date     |    01/30/2017
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Provider Practice Location Address
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    Address Line         |    5720 SIGNAL HILL CT STE A 
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    City                 |    MILFORD
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    State                |    OH
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    Zip                  |    45150-1481
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    Country              |    US
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    Telephone            |    513-831-9408
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    Fax                  |    513-831-1333
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Provider Business Mailing Address
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    Address Line         |    5720 SIGNAL HILL CT STE A
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    City                 |    MILFORD
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    State                |    OH
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    Zip                  |    45150-1481
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    Country              |    US
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    Telephone            |    513-831-9408
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    Fax                  |    513-831-1333
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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        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    1186
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    License Number State |    OH
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