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General NPI Number Information
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NPI Number | 1972940096
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Entity Type | Individual
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Provider Name | MEGHAN COCHRANE D.O.
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Gender | Female
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Dates
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Enumeration Date | 05/30/2013
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Last Update Date | 10/08/2018
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Provider Practice Location Address
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Address Line | 303 N CLYDE MORRIS BLVD
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-2709
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Country | US
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Telephone | 386-425-4641
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Fax | 386-947-4647
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Provider Business Mailing Address
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Address Line | 303 N CLYDE MORRIS BLVD
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-2709
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Country | US
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Telephone | 386-226-4590
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Fax | 386-226-3371
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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 | 255896
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | OS15667
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License Number State | FL
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