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General NPI Number Information
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NPI Number | 1225129505
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Entity Type | Individual
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Provider Name | HEATHER MARIE COCHRAN PH.D.
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Gender | Female
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2100 HEMMETER ROAD
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City | SAGINAW
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State | MI
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Zip | 48603
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Country | US
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Telephone | 989-799-2100
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Fax |
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Provider Business Mailing Address
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Address Line | 9595 OAKBROOKE LANE, #9
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City | HOWELL
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State | MI
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Zip | 48843
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Country | US
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Telephone | 989-798-1187
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6301013285
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License Number State | MI
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