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General NPI Number Information
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NPI Number | 1477973014
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Entity Type | Individual
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Provider Name | JESSICA SOCHA D.O.
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Gender | Female
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Dates
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Enumeration Date | 04/22/2014
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Last Update Date | 07/26/2024
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Provider Practice Location Address
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Address Line | 2400 EDISON ST
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City | BRUSH
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State | CO
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Zip | 80723-1640
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Country | US
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Telephone | 970-842-6200
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Fax |
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Provider Business Mailing Address
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Address Line | 2009 CRESTRIDGE DR
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City | LOVELAND
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State | CO
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Zip | 80537-7490
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Country | US
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Telephone | 860-996-4289
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 56228
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | DR.0071630
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License Number State | CO
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