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General NPI Number Information
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NPI Number | 1912158817
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Entity Type | Organization
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Legal Business Name | FALCON MEDICAL SOLUTIONS LLC
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Dates
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Enumeration Date | 10/09/2008
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Last Update Date | 05/23/2012
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Provider Practice Location Address
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Address Line | 3012 E MAIN AVE STE A
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City | ALTON
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State | TX
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Zip | 78573-0908
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Country | US
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Telephone | 956-584-9900
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Fax | 956-584-9902
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Provider Business Mailing Address
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Address Line | 3012 E MAIN AVE STE A
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City | ALTON
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State | TX
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Zip | 78573-0908
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Country | US
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Telephone | 956-584-9900
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Fax | 956-584-9902
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Authorized Official
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Title or Position | MANAGING OWNER
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Name | ANTHONY UDOMBAT
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Credential |
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Telephone | 956-571-8309
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 26197
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License Number State | TX
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