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General NPI Number Information
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NPI Number | 1487536017
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Entity Type | Individual
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Provider Name | RICHARD KOCHOA PT, DPT, MD, TPS
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Gender | Male
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Dates
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Enumeration Date | 07/24/2025
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 923 S COLLEGE FARM RD
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City | STEPHENVILLE
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State | TX
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Zip | 76401-5203
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Country | US
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Telephone | 254-552-7740
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Fax | 920-486-4941
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Provider Business Mailing Address
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Address Line | PO BOX 1114
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City | EASTLAND
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State | TX
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Zip | 76448-1114
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Country | US
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Telephone | 254-433-6715
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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 | 2251E1200X
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Taxonomy Name | Ergonomics Physical Therapist
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License Number | 1224892
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License Number State | TX
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