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General NPI Number Information
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NPI Number | 1235360439
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Entity Type | Organization
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Legal Business Name | KOCHER & KOCHER DENTISTRY PA
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Dates
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Enumeration Date | 08/05/2009
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Last Update Date | 08/05/2009
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Provider Practice Location Address
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Address Line | 4801 S UNIVERSITY DR STE 112
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City | DAVIE
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State | FL
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Zip | 33328-3835
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Country | US
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Telephone | 954-434-0600
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Fax |
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Provider Business Mailing Address
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Address Line | 4801 S UNIVERSITY DR STE 112
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City | DAVIE
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State | FL
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Zip | 33328-3835
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Country | US
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Telephone | 954-434-0600
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Fax |
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Authorized Official
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Title or Position | CO-PRESIDENT
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Name | DR. MICHAEL JOSEPH KOCHER
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Credential | DMD
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Telephone | 954-434-0600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN17970
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN 18328
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License Number State | FL
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