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General NPI Number Information
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NPI Number | 1700078979
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Entity Type | Organization
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Legal Business Name | FALCON MEDICAL GROUP INC
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Dates
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Enumeration Date | 08/13/2007
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Last Update Date | 07/16/2024
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Provider Practice Location Address
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Address Line | 6000 METROWEST BLVD STE 104
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City | ORLANDO
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State | FL
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Zip | 32835-7630
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Country | US
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Telephone | 407-365-3033
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Fax | 407-365-3034
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Provider Business Mailing Address
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Address Line | 6000 METROWEST BLVD SUITE 104
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City | ORLANDO
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State | FL
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Zip | 32835-7630
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Country | US
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Telephone | 407-365-3033
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Fax | 407-365-3034
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAIVIR S RATHORE
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Credential |
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Telephone | 216-925-2499
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | ME 102387
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ME 102387
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2084E0001X
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Taxonomy Name | Epilepsy Physician
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License Number |
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License Number State |
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