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NPI 1003605635

NPI 1003605635 : JULIA FOX, LLC : OLYMPIA, WA

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General NPI Number Information
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    NPI Number           |    1003605635
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    Entity Type          |    Organization 
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    Legal Business Name  |    JULIA FOX, LLC 
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Dates
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    Enumeration Date     |    05/01/2025
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    Last Update Date     |    05/01/2025
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Provider Practice Location Address
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    Address Line         |    5342 TRI LAKE DR SE 
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    City                 |    OLYMPIA
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    State                |    WA
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    Zip                  |    98513-4794
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    Country              |    US
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    Telephone            |    808-636-8665
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5342 TRI LAKE DR SE 
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    City                 |    OLYMPIA
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    State                |    WA
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    Zip                  |    98513-4794
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    Country              |    US
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    Telephone            |    808-636-8665
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     JULIA  FOX 
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    Credential           |    LMFT
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    Telephone            |    808-636-8665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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