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General NPI Number Information
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NPI Number | 1962563619
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Entity Type | Individual
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Provider Name | KRISTEN BATSON SOCHA PA-C
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Gender | Female
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 11/02/2022
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Provider Practice Location Address
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Address Line | 1 W RIDGEWOOD AVE STE 110
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City | PARAMUS
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State | NJ
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Zip | 07652-2361
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Country | US
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Telephone | 201-258-7603
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Fax | 201-444-9277
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Provider Business Mailing Address
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Address Line | 52 ROUND HILL RD
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City | KINNELON
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State | NJ
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Zip | 07405-3219
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Country | US
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Telephone | 732-266-8123
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | MP00124400
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License Number State | NJ
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