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General NPI Number Information
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NPI Number | 1013346139
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Entity Type | Individual
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Provider Name | LINDA KOCHAN OTR
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Gender | Female
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Dates
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Enumeration Date | 11/08/2013
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Last Update Date | 11/08/2013
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Provider Practice Location Address
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Address Line | 25107 SOUTHPORT ST
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-4922
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Country | US
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Telephone | 949-597-9436
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Fax |
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Provider Business Mailing Address
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Address Line | 25107 SOUTHPORT ST
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-4922
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Country | US
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Telephone |
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 2368
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 2368
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 2368
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | 2368
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License Number State | CA
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