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General NPI Number Information
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NPI Number | 1255697306
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Entity Type | Organization
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Legal Business Name | JOSEPH KOCH, M.D., PLLC
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Dates
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Enumeration Date | 04/03/2012
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Last Update Date | 07/12/2023
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Provider Practice Location Address
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Address Line | 1224 S JOHN REDDITT DR
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City | LUFKIN
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State | TX
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Zip | 75904-4377
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Country | US
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Telephone | 936-639-4393
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Fax | 877-916-5022
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Provider Business Mailing Address
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Address Line | 1224 S JOHN REDDITT DR
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City | LUFKIN
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State | TX
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Zip | 75904-4377
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Country | US
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Telephone | 936-639-4393
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Fax | 877-916-5022
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSEPH ALAN KOCH
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Credential | MD
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Telephone | 936-639-4393
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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 |
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License Number State |
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