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General NPI Number Information
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NPI Number | 1912989971
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Entity Type | Individual
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Provider Name | HUGO FALCON JR. MD
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Gender | Male
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Dates
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Enumeration Date | 11/16/2005
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Last Update Date | 07/15/2011
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Provider Practice Location Address
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Address Line | 303 PARKWAY DR NE
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City | ATLANTA
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State | GA
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Zip | 30312-1212
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Country | US
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Telephone | 404-265-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 6000 LAKE FORREST DR NW SUITE 475
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City | ATLANTA
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State | GA
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Zip | 30328-3824
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Country | US
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Telephone | 404-459-8440
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Fax | 404-459-8441
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 42566
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License Number State | GA
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