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General NPI Number Information
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NPI Number | 1891243515
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Entity Type | Individual
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Provider Name | LAUREN COCHRAN PA
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Gender | Female
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Dates
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Enumeration Date | 09/12/2016
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 1530 N 7TH ST STE 107
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City | TERRE HAUTE
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State | IN
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Zip | 47807-1057
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Country | US
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Telephone | 812-232-0564
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Fax | 812-242-3861
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Provider Business Mailing Address
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Address Line | 2700 COLLETT WOODS LN
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City | TERRE HAUTE
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State | IN
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Zip | 47804-1100
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Country | US
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Telephone | 870-275-1602
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 10002110A
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License Number State | IN
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