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General NPI Number Information
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NPI Number | 1932899663
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Entity Type | Organization
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Legal Business Name | FALCK PHYSICIANS GROUP CORPORATION
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Dates
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Enumeration Date | 05/08/2023
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 1517 W BRADEN CT
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City | ORANGE
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State | CA
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Zip | 92868-1125
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Country | US
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Telephone | 833-325-2562
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Fax |
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Provider Business Mailing Address
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Address Line | 1517 W BRADEN CT
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City | ORANGE
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State | CA
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Zip | 92868-1125
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Country | US
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Telephone | 833-325-2562
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Fax | 562-461-0082
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Authorized Official
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Title or Position | CEO
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Name | AISHA MEMON
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Credential | MD
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Telephone | 970-471-3501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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