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General NPI Number Information
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NPI Number | 1073687620
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Entity Type | Organization
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Legal Business Name | ROBERT I FOX, MD, INC.
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 04/09/2008
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Provider Practice Location Address
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Address Line | 9850 GENESEE AVE #910
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City | LA JOLLA
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State | CA
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Zip | 92037-1224
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Country | US
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Telephone | 858-457-2023
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Fax | 858-457-2721
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Provider Business Mailing Address
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Address Line | 9850 GENESEE AVE SUITE 910
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City | LA JOLLA
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State | CA
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Zip | 92037-1224
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Country | US
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Telephone | 858-457-2023
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Fax | 858-457-2721
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Authorized Official
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Title or Position | VICE-PRESIDENT
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Name | MRS. CARLA MARTIN FOX
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Credential | R.N.
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Telephone | 858-456-0559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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