{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "WM MICHAEL COCHRAN MD PLLC",
"LastName": null,
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"NamePrefix": null,
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"FirstLineMailingAddress": "4050 N CIRCULO MANZANILLO",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "TUCSON",
"MailingAddressStateName": "AZ",
"MailingAddressPostalCode": "85750-1879",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "520-989-3521",
"MailingAddressFaxNumber": "520-989-3522",
"FirstLinePracticeLocationAddress": "140 W DUVAL MINE RD",
"SecondLinePracticeLocationAddress": "SUITE 106",
"PracticeLocationAddressCityName": "GREEN VALLEY",
"PracticeLocationAddressStateName": "AZ",
"PracticeLocationAddressPostalCode": "85614-5000",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "520-989-3521",
"PracticeLocationAddressFaxNumber": "520-989-3522",
"EnumerationDate": "02/25/2008",
"LastUpdateDate": "04/26/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "COCHRAN",
"AuthorizedOfficialFirstName": "BETH",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "RN, OFFICE MANAGER",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "520-989-3521",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "208D00000X",
"TaxonomyName": "General Practice Physician",
"LicenseNumber": "AZ15469",
"LicenseNumberStateCode": "AZ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}