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General NPI Number Information
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NPI Number | 1770658882
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Entity Type | Individual
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Provider Name | ANNET ELLA FALCHOOK MD
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Gender | Female
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Dates
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Enumeration Date | 11/22/2006
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Last Update Date | 12/09/2021
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Provider Practice Location Address
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Address Line | 1050 NW 15TH ST STE 216A
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City | BOCA RATON
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State | FL
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Zip | 33486-1390
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Country | US
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Telephone | 561-338-8492
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Fax | 561-338-8492
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Provider Business Mailing Address
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Address Line | PO BOX 13833
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City | PHILADELPHIA
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State | PA
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Zip | 19101-3833
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Country | US
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Telephone | 352-265-8408
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Fax | 352-265-8409
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ME106645
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License Number State | FL
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