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General NPI Number Information
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NPI Number | 1891904025
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Entity Type | Individual
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Provider Name | KIMBERLY ANN COCHRAN OTL
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Gender | Female
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 05/03/2017
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Provider Practice Location Address
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Address Line | 448 SIDNEY BAKER ST S SUITE 103
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City | KERRVILLE
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State | TX
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Zip | 78028-5915
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Country | US
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Telephone | 830-896-3130
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Fax | 830-896-3132
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Provider Business Mailing Address
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Address Line | 448 SIDNEY BAKER ST S
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City | KERRVILLE
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State | TX
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Zip | 78028-5915
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Country | US
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Telephone | 830-896-3130
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Fax | 830-896-3132
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 107205
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License Number State | TX
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