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NPI 1033163159

NPI 1033163159 : SCOTT EDWARD FOX PA-C : LENOIR, NC

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General NPI Number Information
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    NPI Number           |    1033163159
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    Entity Type          |    Individual 
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    Provider Name        |    SCOTT EDWARD FOX PA-C
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/22/2006
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    Last Update Date     |    02/26/2019
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Provider Practice Location Address
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    Address Line         |    1041 MORGANTON BLVD SW STE 100 
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    City                 |    LENOIR
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    State                |    NC
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    Zip                  |    28645-5605
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    Country              |    US
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    Telephone            |    828-991-4660
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    Fax                  |    828-991-4659
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Provider Business Mailing Address
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    Address Line         |    1041 MORGANTON BLVD SW STE 100 
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    City                 |    LENOIR
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    State                |    NC
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    Zip                  |    28645-5605
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    Country              |    US
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    Telephone            |    828-991-4660
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    Fax                  |    828-991-4659
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    0010-00183
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    License Number State |    NC
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