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General NPI Number Information
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NPI Number | 1760337794
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Entity Type | Individual
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Provider Name | JENNA L KOCH
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Gender | Female
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Dates
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Enumeration Date | 03/04/2026
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Last Update Date | 03/04/2026
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Provider Practice Location Address
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Address Line | 6505 DEMOCRACY BLVD
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City | BETHESDA
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State | MD
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Zip | 20817-1688
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Country | US
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Telephone | 240-225-0522
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Fax |
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Provider Business Mailing Address
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Address Line | 9609 SOTWEED DR
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City | POTOMAC
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State | MD
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Zip | 20854-4750
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Country | US
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Telephone | 301-852-0211
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 32368
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License Number State | MD
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