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General NPI Number Information
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NPI Number | 1962405100
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Entity Type | Individual
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Provider Name | ELAINE K COCHRAN CRNP
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Gender | Female
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | NIH NIDDK DEOB 10 CENTER DRIVE CRC 6 5940
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City | BETHESDA
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State | MD
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Zip | 20892-0001
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Country | US
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Telephone | 301-496-2718
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Fax | 301-480-3368
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Provider Business Mailing Address
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Address Line | 12007 TITIAN WAY
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City | POTOMAC
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State | MD
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Zip | 20854-3345
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Country | US
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Telephone | 240-753-9065
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Fax | 301-480-3368
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | R119905
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License Number State | MD
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