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General NPI Number Information
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NPI Number | 1780382440
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Entity Type | Individual
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Provider Name | KENDALL NICOLE COCHRANE
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Gender | Female
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Dates
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Enumeration Date | 02/21/2023
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 8457 OCEAN HWY
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City | PAWLEYS ISLAND
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State | SC
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Zip | 29585-7959
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Country | US
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Telephone | 843-237-5419
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Fax |
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Provider Business Mailing Address
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Address Line | 15 MELBOURNE CT
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City | MURRELLS INLET
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State | SC
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Zip | 29576-7241
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Country | US
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Telephone | 832-344-8301
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 10738
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License Number State | SC
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