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General NPI Number Information
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NPI Number | 1306729751
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Entity Type | Individual
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Provider Name | NAVY ANN FOX
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Gender | Female
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Dates
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Enumeration Date | 07/30/2025
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 1047 S WELLS ST STE 106
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City | MERIDIAN
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State | ID
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Zip | 83642-7997
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Country | US
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Telephone | 208-297-3428
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Fax |
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Provider Business Mailing Address
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Address Line | 459 ASH ST
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City | TWIN FALLS
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State | ID
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Zip | 83301-7237
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Country | US
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Telephone | 208-536-0897
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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