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Individual
VASILE G FAKLIS
Active
Individual
VASILE G FAKLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CO, BOCO
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ORT 84
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C13712
BOC ORTHOTIST
FL
01
—
CO003703
ABC ORTHOTIST
FL
Enumeration date
12/12/2006
Last updated
07/08/2007
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