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General NPI Number Information
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NPI Number | 1598024010
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Entity Type | Individual
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Provider Name | MICHAEL ANDREW COCHRAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/04/2012
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Last Update Date | 04/05/2016
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Provider Practice Location Address
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Address Line | 2000 PEPPERELL PKWY
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City | OPELIKA
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State | AL
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Zip | 36801-5452
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Country | US
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Telephone | 334-279-1450
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 235019
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City | MONTGOMERY
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State | AL
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Zip | 36123-5019
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Country | US
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Telephone | 334-279-1450
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 32860
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License Number State | AL
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