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General NPI Number Information
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NPI Number | 1760173991
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Entity Type | Individual
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Provider Name | HOSEA KIBET KOECH
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Gender | Male
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Dates
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Enumeration Date | 05/18/2023
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Last Update Date | 09/02/2026
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Provider Practice Location Address
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Address Line | 901 W EVANS ST
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City | FLORENCE
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State | SC
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Zip | 29501-3441
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Country | US
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Telephone | 839-313-9540
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Fax | 843-407-1067
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Provider Business Mailing Address
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Address Line | 2804 KINLOCH CT APT L
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City | FLORENCE
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State | SC
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Zip | 29501-2025
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Country | US
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Telephone | 803-269-9352
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Fax | 843-407-1067
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 27355
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 27355
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License Number State | SC
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