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General NPI Number Information
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NPI Number | 1407906662
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Entity Type | Individual
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Provider Name | EDWIN MCNEIL COCHRAN DDS
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Gender | Male
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 902 PARK STREET
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City | GRINNELL
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State | IA
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Zip | 50112-2050
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Country | US
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Telephone | 641-236-6174
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Fax | 641-236-8784
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Provider Business Mailing Address
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Address Line | 902 PARK STREET
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City | GRINNELL
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State | IA
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Zip | 50112-2050
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Country | US
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Telephone | 641-236-6174
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Fax | 641-236-8784
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 5910
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License Number State | IA
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