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NPI 1437351707

NPI 1437351707 : SCOTT D COCHRAN MD PC : BARTLESVILLE, OK

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General NPI Number Information
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    NPI Number           |    1437351707
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    Entity Type          |    Organization 
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    Legal Business Name  |    SCOTT D COCHRAN MD PC 
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Dates
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    Enumeration Date     |    05/31/2007
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    Last Update Date     |    12/15/2010
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Provider Practice Location Address
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    Address Line         |    3550 SE FRANK PHILLIPS BLVD 
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    City                 |    BARTLESVILLE
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    State                |    OK
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    Zip                  |    74006-2411
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    Country              |    US
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    Telephone            |    918-331-1400
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    Fax                  |    918-331-1466
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Provider Business Mailing Address
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    Address Line         |    3550 SE FRANK PHILLIPS BLVD 
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    City                 |    BARTLESVILLE
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    State                |    OK
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    Zip                  |    74006-2411
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    Country              |    US
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    Telephone            |    918-331-1400
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    Fax                  |    918-331-1466
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Authorized Official
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    Title or Position    |    INSURANCE CLERK
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    Name                 |    MRS. CHRISTY CAROL INMAN 
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    Credential           |    
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    Telephone            |    918-331-1400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    17416
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    License Number State |    OK
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