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General NPI Number Information
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NPI Number | 1497422786
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Entity Type | Individual
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Provider Name | FALON RICHARD APRN-CNP
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Gender | Female
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Dates
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Enumeration Date | 08/25/2021
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Last Update Date | 02/29/2024
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Provider Practice Location Address
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Address Line | 3555 STAGG DR
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City | BEAUMONT
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State | TX
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Zip | 77701-4509
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Country | US
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Telephone | 409-212-5922
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Fax |
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Provider Business Mailing Address
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Address Line | 2440 DIAMOND D DR
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City | BEAUMONT
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State | TX
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Zip | 77713-5003
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Country | US
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Telephone | 409-670-8184
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 1052218
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 1052218
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License Number State | TX
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