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General NPI Number Information
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NPI Number | 1528376175
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Entity Type | Individual
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Provider Name | TANYA ABSHIRE FALCON L.M.T.
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Gender | Female
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Dates
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Enumeration Date | 09/16/2010
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Last Update Date | 03/07/2011
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Provider Practice Location Address
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Address Line | 308 PERRY DR
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City | ABBEVILLE
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State | LA
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Zip | 70510-8250
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Country | US
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Telephone | 337-892-6313
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Fax | 337-892-6717
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Provider Business Mailing Address
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Address Line | 308 PERRY DR
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City | ABBEVILLE
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State | LA
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Zip | 70510-8250
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Country | US
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Telephone | 337-892-6313
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Fax | 337-892-6717
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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 | 172M00000X
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Taxonomy Name | Mechanotherapist
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License Number | LA5507-02
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License Number State | LA
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