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General NPI Number Information
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NPI Number | 1821582545
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Entity Type | Individual
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Provider Name | VIRGINIA FALVELLO MD
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Gender | Female
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Dates
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Enumeration Date | 06/16/2018
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 6425 HARVEY ST
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City | NORTON SHORES
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State | MI
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Zip | 49444-9739
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Country | US
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Telephone | 317-373-4692
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Fax |
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Provider Business Mailing Address
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Address Line | 3400 SPRUCE STREET
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City | PHILADELPHIA
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State | PA
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Zip | 19104-4206
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Country | US
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Telephone | 215-662-4000
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 4301506459
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License Number State | MI
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