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General NPI Number Information
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NPI Number | 1215309380
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Entity Type | Individual
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Provider Name | CIERRA KOCHY APRN
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Gender | Female
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Dates
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Enumeration Date | 10/28/2015
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Last Update Date | 10/28/2015
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Provider Practice Location Address
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Address Line | 1 MEDICAL CENTER DRIVE
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City | MORGANTOWN
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State | WV
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Zip | 26506
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Country | US
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Telephone | 304-293-1201
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Fax |
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Provider Business Mailing Address
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Address Line | 207 EASTGATE DR
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City | MORGANTOWN
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State | WV
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Zip | 26508-5940
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Country | US
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Telephone | 304-290-3063
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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 | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | 78672
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License Number State | WV
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