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General NPI Number Information
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NPI Number | 1497872881
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Entity Type | Organization
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Legal Business Name | FALK PROSTHETICS & ORTHOTICS, INC.
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 12/09/2016
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Provider Practice Location Address
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Address Line | 2141 S ALTERNATE A1A SUITE 130
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City | JUPITER
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State | FL
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Zip | 33477-4072
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Country | US
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Telephone | 561-741-0488
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Fax | 561-741-0498
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Provider Business Mailing Address
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Address Line | 5180 W ATLANTIC AVE SUITE 116
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City | DELRAY BEACH
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State | FL
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Zip | 33484-8103
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Country | US
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Telephone | 561-495-5040
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Fax | 561-495-0034
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Authorized Official
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Title or Position | OWNER
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Name | MR. DAVID L FALK
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Credential | CPO
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Telephone | 561-741-0488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 222Z00000X
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Taxonomy Name | Orthotist
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License Number | POR11
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 224P00000X
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Taxonomy Name | Prosthetist
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License Number | POR11
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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