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General NPI Number Information
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NPI Number | 1972955250
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Entity Type | Organization
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Legal Business Name | FALLS THERAPEUTICS, PLLC
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Dates
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Enumeration Date | 07/11/2016
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Last Update Date | 01/17/2017
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Provider Practice Location Address
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Address Line | 2709 HILL N DALE DR
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City | GREENSBORO
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State | NC
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Zip | 27408-3911
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Country | US
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Telephone | 336-420-9215
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Fax | 336-450-4078
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Provider Business Mailing Address
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Address Line | 2709 HILL N DALE DR
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City | GREENSBORO
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State | NC
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Zip | 27408-3911
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Country | US
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Telephone | 336-420-9215
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Fax | 336-450-4078
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | MRS. BRENDA FISHER FALLS
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Credential | OTR/L
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Telephone | 336-420-9215
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 4616
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License Number State | NC
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