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General NPI Number Information
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NPI Number | 1205099207
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Entity Type | Individual
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Provider Name | FELIPE ARRUDA FALCAO D.D.S, M.S.
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Gender | Male
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Dates
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Enumeration Date | 07/09/2008
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Last Update Date | 05/21/2015
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Provider Practice Location Address
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Address Line | 9590 APPLECROSS RD STE 106
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City | JACKSONVILLE
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State | FL
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Zip | 32222-5857
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Country | US
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Telephone | 904-778-3330
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Fax | 904-778-3203
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Provider Business Mailing Address
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Address Line | 3073 JACOB FIXEL CT
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City | JACKSONVILLE
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State | FL
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Zip | 32257-5889
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Country | US
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Telephone | 904-778-3330
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Fax | 904-778-3203
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | F-24987
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN19579
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License Number State | FL
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