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General NPI Number Information
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NPI Number | 1659760346
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Entity Type | Organization
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Legal Business Name | FALCON PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 01/18/2015
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Last Update Date | 01/18/2015
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Provider Practice Location Address
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Address Line | 14602 ROSEWOOD RD
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2658
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Country | US
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Telephone | 305-498-1355
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Fax | 305-726-0093
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Provider Business Mailing Address
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Address Line | 14602 ROSEWOOD RD
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2658
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Country | US
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Telephone |
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Fax | 305-726-0093
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/OWNER
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Name | CARLOS FALCON
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Credential |
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Telephone | 305-498-1355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT25767
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License Number State | FL
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