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General NPI Number Information
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NPI Number | 1164884987
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Entity Type | Individual
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Provider Name | TONI FALCONE PSY.D
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Gender | Female
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Dates
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Enumeration Date | 03/22/2016
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Last Update Date | 03/21/2020
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Provider Practice Location Address
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Address Line | 2601 E OAKLAND PARK BLVD STE 502
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City | FORT LAUDERDALE
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State | FL
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Zip | 33306
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Country | US
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Telephone | 954-693-6446
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Fax |
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Provider Business Mailing Address
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Address Line | 673 NE 3RD AVE APT 420
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City | FORT LAUDERDALE
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State | FL
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Zip | 33304-2745
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Country | US
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Telephone | 954-693-6446
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY9749
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License Number State | FL
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