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General NPI Number Information
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NPI Number | 1053403147
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Entity Type | Organization
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Legal Business Name | JOHN D COCHRAN DDS INC
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 06/05/2008
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Provider Practice Location Address
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Address Line | 5713 SOUTH FLORES
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City | SAN ANTONIO
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State | TX
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Zip | 78214
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Country | US
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Telephone | 210-922-2792
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Fax | 210-922-7333
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Provider Business Mailing Address
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Address Line | 5713 SOUTH FLORES
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City | SAN ANTONIO
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State | TX
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Zip | 78214
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Country | US
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Telephone | 210-922-2792
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Fax | 210-922-7333
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN D COCHRAN
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Credential | DDS
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Telephone | 210-922-7792
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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