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General NPI Number Information
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NPI Number | 1245134394
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Entity Type | Individual
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Provider Name | MS. LINDA KOCHA
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Gender | Female
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 35 SUGAR LOAF DR
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City | STAR VALLEY RANCH
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State | WY
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Zip | 83127-9079
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Country | US
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Telephone | 307-248-1777
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 471
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City | STAR VALLEY RANCH
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State | WY
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Zip | 83127-0471
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Country | US
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Telephone | 307-248-1777
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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 | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | 2011-000608390
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License Number State | WY
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