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General NPI Number Information
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NPI Number | 1013932094
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Entity Type | Individual
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Provider Name | AMEE J KOCH PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 2 EMBARCADERO CTR LBBY
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City | SAN FRANCISCO
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State | CA
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Zip | 94111-3823
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Country | US
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Telephone | 888-663-6331
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Fax | 415-252-7176
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Provider Business Mailing Address
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Address Line | 707 N IOWA ST
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City | GUNNISON
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State | CO
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Zip | 81230-2229
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Country | US
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Telephone | 970-641-1456
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | PA10004376
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA01352
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 52312
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA.0006681
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License Number State | CO
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