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General NPI Number Information
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NPI Number | 1205827953
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Entity Type | Individual
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Provider Name | JOHN MICHAEL FOX D.C.
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Gender | Male
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Dates
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Enumeration Date | 11/02/2005
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Last Update Date | 04/09/2022
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Provider Practice Location Address
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Address Line | 8801 BUCCOLA AVE STE 600
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City | AMARILLO
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State | TX
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Zip | 79119-6793
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Country | US
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Telephone | 806-477-9463
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Fax |
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Provider Business Mailing Address
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Address Line | 423 S RIVERSIDE DR STE A1
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City | ESPANOLA
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State | NM
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Zip | 87532-2980
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Country | US
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Telephone | 505-753-3001
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Fax | 505-753-3052
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 14839
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1497
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License Number State | NM
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