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General NPI Number Information
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NPI Number | 1205188612
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Entity Type | Individual
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Provider Name | ANDREA MARIE FALCON APRN-C
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Gender | Female
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Dates
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Enumeration Date | 10/09/2012
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Last Update Date | 09/22/2022
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Provider Practice Location Address
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Address Line | 3610 GALILEO DR STE 102
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City | TRINITY
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State | FL
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Zip | 34655-1794
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Country | US
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Telephone | 813-406-4835
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Fax | 813-994-4835
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Provider Business Mailing Address
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Address Line | 7547 JACQUE RD
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City | HUDSON
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State | FL
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Zip | 34667-7163
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Country | US
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Telephone | 727-862-8561
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9241414
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License Number State | FL
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