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General NPI Number Information
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NPI Number | 1467501403
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Entity Type | Individual
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Provider Name | DAVID LAWRENCE FALKSTEIN PH.D.
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Gender | Male
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 08/24/2017
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Provider Practice Location Address
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Address Line | 204 W MCDERMOTT DR STE A
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City | ALLEN
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State | TX
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Zip | 75013-8058
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Country | US
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Telephone | 972-954-7188
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Fax | 214-383-4252
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Provider Business Mailing Address
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Address Line | PO BOX 502
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City | ALLEN
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State | TX
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Zip | 75013-0010
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Country | US
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Telephone | 972-954-7188
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Fax | 213-283-4252
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 30682
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 32077
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License Number State | TX
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