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General NPI Number Information
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NPI Number | 1679770184
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Entity Type | Individual
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Provider Name | DEANNA S. KOCH M.A., L.P.C.
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Gender | Female
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Dates
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Enumeration Date | 06/28/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 145 44TH ST
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City | PITTSBURGH
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State | PA
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Zip | 15201-3038
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Country | US
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Telephone | 412-235-1985
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Fax |
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Provider Business Mailing Address
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Address Line | 55 SAMPSON ST
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City | PITTSBURGH
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State | PA
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Zip | 15205-2053
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Country | US
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Telephone | 412-400-9160
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC004210
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License Number State | PA
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