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General NPI Number Information
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NPI Number | 1699229252
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Entity Type | Individual
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Provider Name | TIFFANY ANN FALCONE P.A
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Gender | Female
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Dates
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Enumeration Date | 08/11/2016
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Last Update Date | 01/29/2020
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Provider Practice Location Address
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Address Line | 177 FORT WASHINGTON AVE
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City | NEW YORK
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State | NY
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Zip | 10032-3733
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Country | US
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Telephone | 212-305-0585
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Fax |
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Provider Business Mailing Address
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Address Line | 23 RIMWOOD LN
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City | COLTS NECK
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State | NJ
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Zip | 07722-1346
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Country | US
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Telephone | 917-710-7193
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State | NY
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