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General NPI Number Information
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NPI Number | 1659452340
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Entity Type | Individual
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Provider Name | MATTHEW C HOCH LAT
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Gender | Male
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 02/22/2021
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Provider Practice Location Address
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Address Line | UNIVERSITY OF KENTUCKY 720 SPORTS CENTER DRIVE
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City | LEXINGTON
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State | KY
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Zip | 40506-0001
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Country | US
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Telephone | 859-323-9850
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Fax |
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Provider Business Mailing Address
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Address Line | 4144 STARRUSH PL
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City | LEXINGTON
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State | KY
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Zip | 40509-9077
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Country | US
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Telephone | 570-578-1635
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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 | AT756
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License Number State | KY
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