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General NPI Number Information
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NPI Number | 1336294610
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Entity Type | Individual
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Provider Name | ROBERT FOX LMHC, LADC I, CEAP
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Gender | Male
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 09/11/2023
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Provider Practice Location Address
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Address Line | 10 MALL RD STE 301
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City | BURLINGTON
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State | MA
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Zip | 01803-4131
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Country | US
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Telephone | 781-933-0200
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Fax | 781-933-0301
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Provider Business Mailing Address
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Address Line | 10 MALL RD STE 301
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City | BURLINGTON
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State | MA
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Zip | 01803-4131
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Country | US
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Telephone | 781-933-0200
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Fax | 781-933-0301
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 2135
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 5333
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License Number State | MA
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