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General NPI Number Information
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NPI Number | 1093817066
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Entity Type | Individual
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Provider Name | KATHLEEN MARIE KOCHERZAT PHD
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Gender | Female
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Dates
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Enumeration Date | 09/01/2006
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Last Update Date | 03/11/2023
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Provider Practice Location Address
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Address Line | 117 VIP DR
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City | WEXFORD
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State | PA
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Zip | 15090-6932
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Country | US
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Telephone | 412-494-8448
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Fax |
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Provider Business Mailing Address
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Address Line | 118 RICHEY AVE
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City | PITTSBURGH
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State | PA
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Zip | 15214-2037
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Country | US
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Telephone | 412-231-6370
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS007972L
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License Number State | PA
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