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General NPI Number Information
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NPI Number | 1356130579
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Entity Type | Individual
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Provider Name | JORDIN COCHRAN AGPCNP-C
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Gender | Female
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Dates
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Enumeration Date | 05/05/2025
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 10807 NEW ALLEGIANCE DR STE 160
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City | COLORADO SPRINGS
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State | CO
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Zip | 80921-3805
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Country | US
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Telephone | 719-249-3547
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Fax |
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Provider Business Mailing Address
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Address Line | 10807 NEW ALLEGIANCE DR STE 160
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City | COLORADO SPRINGS
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State | CO
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Zip | 80921-3805
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Country | US
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Telephone | 719-249-3547
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN.CNP.0032690
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN.CNP.0032690
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License Number State | OH
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