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General NPI Number Information
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NPI Number | 1508889288
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Entity Type | Individual
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Provider Name | SCOTT ALLEN POCHA PA-C
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Gender | Male
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 08/21/2024
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Provider Practice Location Address
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Address Line | 1892 VETERANS WAY
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City | FORT HARRISON
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State | MT
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Zip | 59636
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Country | US
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Telephone | 406-447-7483
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Fax |
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Provider Business Mailing Address
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Address Line | 6210 DAIRY DR
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City | HELENA
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State | MT
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Zip | 59602-6527
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Country | US
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Telephone | 406-458-8197
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 105
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License Number State | MT
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