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General NPI Number Information
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NPI Number | 1386714368
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Entity Type | Individual
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Provider Name | EVELYN M FALCON MS, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 04/09/2014
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Provider Practice Location Address
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Address Line | 6625 MIAMI LAKES DR E SUITE 383
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2708
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Country | US
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Telephone | 305-498-1306
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Fax | 305-726-0093
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Provider Business Mailing Address
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Address Line | 14602 ROSEWOOD RD
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2658
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Country | US
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Telephone | 305-498-1306
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Fax | 305-726-0093
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SLP0005134
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License Number State | GA
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