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General NPI Number Information
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NPI Number | 1922208545
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Entity Type | Individual
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Provider Name | POONAM OCHANI MD
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Gender | Female
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Dates
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Enumeration Date | 07/22/2007
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Last Update Date | 11/24/2015
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Provider Practice Location Address
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Address Line | 800 ZORN AVE PM&R SERVICES 117
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City | LOUISVILLE
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State | KY
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Zip | 40206-1433
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Country | US
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Telephone | 502-284-4567
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Fax | 502-287-4567
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Provider Business Mailing Address
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Address Line | PO BOX 8144
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City | LOUISVILLE
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State | KY
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Zip | 40257-8144
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Country | US
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Telephone | 502-287-4567
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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 | BP10029432
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | BP20031530
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | P0457
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License Number State | TX
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