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General NPI Number Information
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NPI Number | 1063972446
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Entity Type | Individual
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Provider Name | MICHAEL ANDREW FOX MD
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Gender | Male
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Dates
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Enumeration Date | 03/22/2019
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 3620 JOSEPH SIEWICK DR STE 100
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City | FAIRFAX
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State | VA
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Zip | 22033-1757
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Country | US
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Telephone | 703-810-5223
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Fax | 703-810-5403
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Provider Business Mailing Address
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Address Line | PO BOX 715868
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City | PHILADELPHIA
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State | PA
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Zip | 19171-5868
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Country | US
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Telephone | 804-915-1910
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Fax | 804-968-1810
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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 | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 0101285651
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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