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1053848879 NPI number — KASEY FOX DO

NPI Number: 1053848879
Health Care Provider/Practitioner: KASEY FOX DO

Information about “1053848879” NPI (KASEY FOX DO) exists in 1053848879 in HTML format HTML  |  1053848879 in plain Text format TXT  |  1053848879 in PDF (Portable Document Format) PDF  |  1053848879 in an XML format XML  formats.

NPI Number : 1053848879 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1053848879",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FOX",
    "FirstName": "KASEY",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DO",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "RADICIC",
    "OtherFirstName": "KASEY",
    "OtherMiddleName": null,
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1700 MOUNT VERNON AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BAKERSFIELD",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "93306-4018",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "661-664-2200",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1700 MOUNT VERNON AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BAKERSFIELD",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "93306-4018",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "661-326-2800",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/11/2017",
    "LastUpdateDate": "04/25/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "A2018686",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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