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General NPI Number Information
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NPI Number | 1265168306
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Entity Type | Individual
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Provider Name | ELYSE FOX
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Gender | Female
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Dates
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Enumeration Date | 07/30/2022
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 44 COURT ST STE 1217
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City | BROOKLYN
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State | NY
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Zip | 11201-4410
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Country | US
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Telephone | 698-634-7659
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Fax |
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Provider Business Mailing Address
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Address Line | 504 MEADOWRIDGE CIR
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City | BEACON
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State | NY
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Zip | 12508-1566
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Country | US
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Telephone | 845-891-6734
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Fax |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 014840
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License Number State | NY
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