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General NPI Number Information
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NPI Number | 1255850665
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Entity Type | Organization
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Legal Business Name | ERIC FOX LCSW LLC.
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Dates
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Enumeration Date | 09/18/2017
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Last Update Date | 06/08/2023
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Provider Practice Location Address
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Address Line | 220 MONMOUTH ROAD SUITE 7
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City | OAKHURST
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State | NJ
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Zip | 07755
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Country | US
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Telephone | 732-662-8853
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Fax | 732-508-6098
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Provider Business Mailing Address
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Address Line | 220 MONMOUTH RD STE 7
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City | OAKHURST
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State | NJ
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Zip | 07755-1561
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Country | US
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Telephone | 732-662-8853
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Fax | 732-508-6098
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Authorized Official
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Title or Position | OWNER
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Name | MR. ERIC DAVID FOX
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Credential | LCSW
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Telephone | 732-662-8853
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC05736200
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License Number State | NJ
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