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General NPI Number Information
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NPI Number | 1891133278
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Entity Type | Individual
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Provider Name | LAURIE DEANNE FALCON FNP
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Gender | Female
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Dates
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Enumeration Date | 06/07/2013
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Last Update Date | 07/16/2014
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Provider Practice Location Address
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Address Line | 566 VETERAN DR
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City | PEARSALL
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State | TX
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Zip | 78061-6623
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Country | US
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Telephone | 210-231-4701
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Fax |
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Provider Business Mailing Address
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Address Line | 126 EUGENE SASSER
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City | SAN ANTONIO
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State | TX
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Zip | 78260-1454
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Country | US
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Telephone | 210-887-5557
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP124009
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License Number State | TX
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