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Individual
JOSHUA PAUL FALLENTINE
Active
Individual
JOSHUA PAUL FALLENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
12178
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12178
PTL
CA
Enumeration date
03/29/2023
Last updated
06/07/2024
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