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General NPI Number Information
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NPI Number | 1154710267
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Entity Type | Organization
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Legal Business Name | LAWRENCE G. FALENDER DDS PC
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Dates
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Enumeration Date | 01/13/2015
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Last Update Date | 01/13/2015
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Provider Practice Location Address
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Address Line | 1320 N POST RD
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City | INDIANAPOLIS
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State | IN
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Zip | 46219-4210
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Country | US
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Telephone | 317-898-2555
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Fax | 317-898-2556
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Provider Business Mailing Address
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Address Line | 1320 N POST RD
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City | INDIANAPOLIS
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State | IN
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Zip | 46219-4210
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Country | US
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Telephone | 317-898-2555
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Fax | 317-898-2556
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Authorized Official
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Title or Position | OWNER
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Name | DR. LAWRENCE FALENDER
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Credential | DDS
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Telephone | 317-898-2555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 12008529
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License Number State | IN
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