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General NPI Number Information
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NPI Number | 1497053029
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Entity Type | Organization
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Legal Business Name | DUSK FALKNER-MARTINEZ, O.D., P.A.
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Dates
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Enumeration Date | 03/07/2011
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Last Update Date | 06/18/2015
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Provider Practice Location Address
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Address Line | 10187 W SUNRISE BLVD
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City | PLANTATION
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State | FL
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Zip | 33322-7617
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Country | US
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Telephone | 954-916-0017
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Fax | 954-306-8194
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Provider Business Mailing Address
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Address Line | 10187 W SUNRISE BLVD
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City | PLANTATION
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State | FL
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Zip | 33322-7617
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Country | US
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Telephone | 954-916-0017
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Fax | 954-306-8194
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DUSK JAYE FALKNER-MARTINEZ
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Credential | O.D.
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Telephone | 954-916-0017
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC 3110
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License Number State | FL
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