MEDICARE: STEPHANIE J FOX

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YS0200X	School Counselor		DC

General Provider Information

NPI Number	:	1932478005
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE J FOX

Provider Business Mailing Address
First Line	:	PSC 1 BOX 1965
Second Line	:
City	:	APO
State	:	AE
Zip	:	09009-0020
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	PSC 1 BOX 1965
Second Line	:
City	:	APO
State	:	AE
Zip	:	09009-0020
Country	:	US
Telephone Number	:	016093071661
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/20/2011
Last Update Date	:	12/20/2011

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Directions to “ STEPHANIE J FOX ” Practice Location

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