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Individual
JENNIFER FALK
Active
Individual
JENNIFER FALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
51674
CA
363A00000X
Physician Assistant
PA07175
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220138601
—
TX
01
—
845N04
BCBS
TX
Enumeration date
03/16/2011
Last updated
02/07/2022
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