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General NPI Number Information
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NPI Number | 1073254587
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Entity Type | Organization
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Legal Business Name | ANDREW M FOX MD INC A PROFESSIONAL MEDICAL CORPORATION
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Dates
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Enumeration Date | 04/06/2022
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Last Update Date | 04/06/2022
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Provider Practice Location Address
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Address Line | 4849 VAN NUYS BLVD STE 203
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-2122
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Country | US
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Telephone | 818-616-4429
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Fax | 818-616-4829
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Provider Business Mailing Address
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Address Line | 4849 VAN NUYS BLVD STE 203
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-2122
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Country | US
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Telephone | 818-616-4429
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Fax | 818-616-4829
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANDREW M FOX
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Credential | MD
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Telephone | 818-616-4429
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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