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General NPI Number Information
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NPI Number | 1043420136
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Entity Type | Individual
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Provider Name | MICHAEL FALOON M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 08/04/2023
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Provider Practice Location Address
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Address Line | 1124 E RIDGEWOOD AVE
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City | RIDGEWOOD
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State | NJ
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Zip | 07450-3942
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Country | US
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Telephone | 201-420-7460
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Fax |
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Provider Business Mailing Address
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Address Line | 1317 GARDEN ST
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City | HOBOKEN
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State | NJ
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Zip | 07030-4407
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Country | US
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Telephone | 201-420-7460
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Fax |
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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 | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | NY260541
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 25MA08915300
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License Number State | NJ
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