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General NPI Number Information
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NPI Number | 1326907130
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Entity Type | Individual
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Provider Name | AMANDA L FALBO PMHNP
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Gender | Female
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Dates
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Enumeration Date | 01/17/2026
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Last Update Date | 01/17/2026
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Provider Practice Location Address
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Address Line | 12559 COUNTY ROAD 2293
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City | TYLER
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State | TX
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Zip | 75707-5619
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Country | US
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Telephone | 817-968-8235
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Fax |
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Provider Business Mailing Address
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Address Line | 12559 COUNTY ROAD 2293
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City | TYLER
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State | TX
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Zip | 75707-5619
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Country | US
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Telephone | 817-968-8235
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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 | 2084B0040X
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Taxonomy Name | Behavioral Neurology & Neuropsychiatry Physician
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License Number | 1219282
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License Number State | TX
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