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General NPI Number Information
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NPI Number | 1164678843
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Entity Type | Individual
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Provider Name | FALGUN S TRIVEDI DO
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Gender | Male
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Dates
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Enumeration Date | 08/13/2008
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 2001 KINGSLEY AVE
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City | ORANGE PARK
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State | FL
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Zip | 32073-5148
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Country | US
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Telephone | 904-639-8500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7096
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City | STOCKTON
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State | CA
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Zip | 95267-0096
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Country | US
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Telephone | 209-956-7725
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Fax | 209-956-7733
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | OS15025
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License Number State | FL
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