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General NPI Number Information
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NPI Number | 1851380075
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Entity Type | Organization
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Legal Business Name | COCHRAN AND DARNELL DENTAL CORPORATION
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Dates
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Enumeration Date | 10/20/2005
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Last Update Date | 08/13/2008
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Provider Practice Location Address
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Address Line | 890 SUNSET DR SUITE D-1A
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City | HOLLISTER
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State | CA
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Zip | 95023-5641
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Country | US
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Telephone | 831-637-4623
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Fax | 831-637-4730
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Provider Business Mailing Address
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Address Line | 890 SUNSET DR SUITE D-1A
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City | HOLLISTER
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State | CA
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Zip | 95023-5641
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Country | US
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Telephone | 831-637-4623
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Fax | 831-637-4730
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARK W DARNELL
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Credential | DDS
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Telephone | 831-637-4623
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 28850
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License Number State | CA
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