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General NPI Number Information
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NPI Number | 1073386595
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Entity Type | Individual
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Provider Name | CAITLYN COCHRAN PA-C
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Gender | Female
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Dates
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Enumeration Date | 11/06/2023
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Last Update Date | 11/06/2023
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Provider Practice Location Address
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Address Line | 183 WIND CHIME CT STE 100
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City | RALEIGH
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State | NC
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Zip | 27615-6574
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Country | US
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Telephone | 888-852-1988
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Fax |
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Provider Business Mailing Address
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Address Line | 118 COTTAGE WAY
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City | PITTSBORO
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State | NC
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Zip | 27312-1359
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Country | US
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Telephone | 970-219-8670
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | NC
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