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Individual
DR. CLAUD B. FALLIS
Active
Individual
DR. CLAUD B. FALLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
969069T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1364789
—
LA
01
—
P00960152
MEDICARE RAILROAD RETIREMENT
LA
Enumeration date
02/27/2007
Last updated
09/29/2011
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