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General NPI Number Information
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NPI Number | 1902879158
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Entity Type | Individual
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Provider Name | STEPHEN S FALKOWSKI DO
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Gender | Male
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Dates
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Enumeration Date | 02/08/2006
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 410 N MAIN ST
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City | CHIEFLAND
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State | FL
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Zip | 32626-0866
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Country | US
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Telephone | 352-493-7274
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Fax | 352-493-9290
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Provider Business Mailing Address
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Address Line | 23476 NW 186TH AVE
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City | HIGH SPRINGS
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State | FL
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Zip | 32643-0673
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Country | US
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Telephone | 386-454-0698
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Fax | 386-454-0690
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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 | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | OS11123
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | OS11123
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License Number State | FL
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