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NPI 1063606374

NPI 1063606374 : ROCHELLE DEANNE COCHRANE M.D. : CHEHALIS, WA

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General NPI Number Information
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    NPI Number           |    1063606374
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    Entity Type          |    Individual 
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    Provider Name        |    ROCHELLE DEANNE COCHRANE M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/29/2007
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    Last Update Date     |    12/09/2020
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Provider Practice Location Address
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    Address Line         |    2517 NE KRESKY AVENUE 
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    City                 |    CHEHALIS
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    State                |    WA
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    Zip                  |    98532-2409
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    Country              |    US
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    Telephone            |    360-748-8632
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    Fax                  |    360-748-3869
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1506 
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    City                 |    CHEHALIS
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    State                |    WA
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    Zip                  |    98532
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    Country              |    US
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    Telephone            |    800-888-9960
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    Fax                  |    360-748-3869
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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        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    A104458
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    159123
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    License Number State |    AK
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Taxonomy #3
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    Taxonomy Code        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    MD61054774
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    License Number State |    WA
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