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NPI 1699787838

NPI 1699787838 : TERANCE ALLEN COCHRANE : RENO, NV

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General NPI Number Information
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    NPI Number           |    1699787838
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    Entity Type          |    Individual 
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    Provider Name        |    TERANCE ALLEN COCHRANE
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/13/2006
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    Last Update Date     |    03/17/2017
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Provider Practice Location Address
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    Address Line         |    9730 S MCCARRAN BLVD SUITE 1
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    City                 |    RENO
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    State                |    NV
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    Zip                  |    89523-9203
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    Country              |    US
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    Telephone            |    775-787-3939
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    Fax                  |    775-746-3991
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Provider Business Mailing Address
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    Address Line         |    9730 S MCCARRAN BLVD SUITE 1
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    City                 |    RENO
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    State                |    NV
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    Zip                  |    89523-9203
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    Country              |    US
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    Telephone            |    775-787-3939
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    Fax                  |    775-746-3991
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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        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    NV221
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    License Number State |    NV
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