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General NPI Number Information
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NPI Number | 1437820891
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Entity Type | Individual
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Provider Name | MONIKA KOEHLER
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Gender | Female
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Dates
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Enumeration Date | 09/24/2021
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 19636 N 27TH AVE STE 203
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City | PHOENIX
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State | AZ
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Zip | 85027-4022
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Country | US
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Telephone | 623-562-5050
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Fax | 623-562-5051
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Provider Business Mailing Address
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Address Line | 2910 N 3RD AVE # 200
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City | PHOENIX
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State | AZ
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Zip | 85013-4434
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Country | US
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Telephone | 602-406-3181
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Fax | 602-264-2417
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA.0007628
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 11385
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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