{
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"NPI": "1437351707",
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"ReplacementNPI": null,
"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SCOTT D COCHRAN MD PC",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "3550 SE FRANK PHILLIPS BLVD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BARTLESVILLE",
"MailingAddressStateName": "OK",
"MailingAddressPostalCode": "74006-2411",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "918-331-1400",
"MailingAddressFaxNumber": "918-331-1466",
"FirstLinePracticeLocationAddress": "3550 SE FRANK PHILLIPS BLVD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BARTLESVILLE",
"PracticeLocationAddressStateName": "OK",
"PracticeLocationAddressPostalCode": "74006-2411",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "918-331-1400",
"PracticeLocationAddressFaxNumber": "918-331-1466",
"EnumerationDate": "05/31/2007",
"LastUpdateDate": "12/15/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "INMAN",
"AuthorizedOfficialFirstName": "CHRISTY",
"AuthorizedOfficialMiddleName": "CAROL",
"AuthorizedOfficialTitle": "INSURANCE CLERK",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "918-331-1400",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207X00000X",
"TaxonomyName": "Orthopaedic Surgery Physician",
"LicenseNumber": "17416",
"LicenseNumberStateCode": "OK",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}