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General NPI Number Information
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NPI Number | 1710972302
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Entity Type | Individual
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Provider Name | PAMELA LEE COCHRAN M.S.N.,C.N.P.
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Gender | Female
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Dates
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Enumeration Date | 09/20/2005
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Last Update Date | 07/10/2015
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Provider Practice Location Address
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Address Line | 600 KENDAL DR
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City | OBERLIN
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State | OH
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Zip | 44074-1900
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Country | US
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Telephone | 440-775-9819
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Fax | 440-775-9854
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Provider Business Mailing Address
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Address Line | 1001 LAKESIDE E AVE 1000
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City | CLEVELAND
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State | OH
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Zip | 44114-1162
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Country | US
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Telephone | 440-984-1546
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Fax | 216-420-9354
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 06485
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License Number State | OH
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