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General NPI Number Information
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NPI Number | 1982255923
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Entity Type | Individual
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Provider Name | MICHELLE A FALLER NP-C
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Gender | Female
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Dates
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Enumeration Date | 09/20/2019
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Last Update Date | 09/25/2019
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Provider Practice Location Address
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Address Line | 340 NW COMMERCE DR
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City | LAKE CITY
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State | FL
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Zip | 32055-4709
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Country | US
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Telephone | 386-719-9334
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Fax |
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Provider Business Mailing Address
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Address Line | 19708 78TH PL
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City | LIVE OAK
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State | FL
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Zip | 32060-7722
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Country | US
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Telephone | 229-251-8229
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11004244
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License Number State | FL
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