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General NPI Number Information
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NPI Number | 1467404319
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Entity Type | Individual
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Provider Name | WILLIAM MICHAEL COCHRAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 04/26/2012
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Provider Practice Location Address
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Address Line | 140 W DUVAL MINE RD SUITE 106
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City | GREEN VALLEY
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State | AZ
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Zip | 85614-5000
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Country | US
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Telephone | 520-989-3521
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Fax | 520-989-3522
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Provider Business Mailing Address
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Address Line | 4050 N CIRCULO MANZANILLO
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City | TUCSON
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State | AZ
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Zip | 85750-1879
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Country | US
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Telephone | 520-989-3521
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Fax | 520-989-3522
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 15469
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License Number State | AZ
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