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General NPI Number Information
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NPI Number | 1558751768
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Entity Type | Individual
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Provider Name | MORGAN HARRIS KOCHER M.S., A.T.C.
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Gender | Male
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Dates
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Enumeration Date | 01/26/2015
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Last Update Date | 01/26/2015
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Provider Practice Location Address
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Address Line | 1337 LOWER CAMPUS RD PE/A 231
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City | HONOLULU
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State | HI
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Zip | 96822-2352
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Country | US
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Telephone | 971-237-6903
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Fax |
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Provider Business Mailing Address
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Address Line | 935 COOLIDGE ST APT# 2
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City | HONOLULU
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State | HI
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Zip | 96826-3078
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Country | US
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Telephone | 971-237-6903
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 139
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License Number State | HI
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