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General NPI Number Information
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NPI Number | 1780241695
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Entity Type | Organization
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Legal Business Name | GREGORY FALDOWSKI O D
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Dates
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Enumeration Date | 05/26/2019
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 10775 PIONEER TRL STE 104
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City | TRUCKEE
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State | CA
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Zip | 96161-0233
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Country | US
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Telephone | 530-721-2872
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Fax |
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Provider Business Mailing Address
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Address Line | 3352 CHARLOTTE AVE
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City | ROSEMEAD
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State | CA
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Zip | 91770-2508
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GREGORY J FALDOWSKI
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Credential | O.D.
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Telephone | 775-375-8869
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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