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General NPI Number Information
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NPI Number | 1710925847
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Entity Type | Individual
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Provider Name | CHARLES J. KOCHERT M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 02/08/2021
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Provider Practice Location Address
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Address Line | 709 MIDDLE CREEK RD
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City | SEVIERVILLE
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State | TN
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Zip | 37862
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Country | US
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Telephone | 865-453-7111
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Fax |
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Provider Business Mailing Address
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Address Line | 133 GALLAHAD CT
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City | SEVIERVILLE
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State | TN
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Zip | 37876-3801
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Country | US
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Telephone | 865-908-6094
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | TN32012
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | TP571
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 32012
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 32012
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License Number State | TN
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