Provider Information for 1336870799
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HEATHER COCHRAN
Sex: Female
NPI: 1336870799
Last Updated: 2022-11-29
Certification Date: 2022-11-21
Certification Date: 2022-11-21
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1336870799 | ||||||||||||||
| Enumeration Date | 2022-06-17 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | NO | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 8132 KING HELIE BLVD NEW PORT RICHEY, FL 34653-1435 United States Phone: 727-841-4207 | Fax: | ||||||||||||||
| Primary Practice Address | 8132 KING HELIE BLVD NEW PORT RICHEY, FL 34653-1435 United States Phone: 727-834-3959 | Fax: | ||||||||||||||
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