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General NPI Number Information
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NPI Number | 1295841898
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Entity Type | Individual
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Provider Name | JAMES GLENN FOX LCSW
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Gender | Male
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 02/01/2026
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Provider Practice Location Address
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Address Line | 15 HORACE ST
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City | TORRINGTON
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State | CT
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Zip | 06790-5112
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Country | US
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Telephone | 860-614-6011
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Fax |
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Provider Business Mailing Address
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Address Line | 46 W AVON RD SUITE 202
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City | AVON
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State | CT
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Zip | 06001-3679
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Country | US
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Telephone | 860-614-6011
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 004751
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License Number State | CT
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