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General NPI Number Information
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NPI Number | 1013304369
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Entity Type | Organization
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Legal Business Name | FALCON HEALTHCARE
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Dates
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Enumeration Date | 04/23/2015
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Last Update Date | 04/23/2015
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Provider Practice Location Address
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Address Line | 8565 SOUTH POPLAR WAY CARE OF ROD FALCON
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City | LITTLETON
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State | CO
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Zip | 80130
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Country | US
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Telephone | 719-761-2554
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Fax | 303-660-7918
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Provider Business Mailing Address
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Address Line | 8565 SOUTH POPLAR WAY CARE OF ROD FALCON
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City | LITTLETON
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State | CO
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Zip | 80130
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Country | US
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Telephone | 719-761-2554
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Fax | 303-660-7918
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | RODRIC FALCON
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Credential |
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Telephone | 719-761-2554
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0990268
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License Number State | CO
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