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General NPI Number Information
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NPI Number | 1902163421
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Entity Type | Individual
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Provider Name | DR. CONCEPCION FALCON
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Gender | Female
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Dates
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Enumeration Date | 04/20/2012
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Last Update Date | 04/20/2012
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Provider Practice Location Address
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Address Line | 2109 E VICTORY DR
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City | SAVANNAH
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State | GA
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Zip | 31404-3917
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Country | US
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Telephone | 912-352-2658
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Fax |
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Provider Business Mailing Address
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Address Line | 14 TWELVE OAKS DR
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City | SAVANNAH
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State | GA
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Zip | 31410-2216
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Country | US
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Telephone | 912-898-4074
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH026316
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH13572
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License Number State | SC
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