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General NPI Number Information
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NPI Number | 1033539804
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Entity Type | Individual
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Provider Name | DAVID J. FOX D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/21/2014
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 2401 PENNSYLVANIA AVE STE 1A8
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City | PHILADELPHIA
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State | PA
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Zip | 19130-3002
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Country | US
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Telephone | 215-481-0441
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 624
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City | FOXCROFT SQUARE
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State | PA
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Zip | 19046-7024
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Country | US
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Telephone | 215-481-0441
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Fax |
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | DS022175L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | DS022175L
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License Number State | PA
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