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General NPI Number Information
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NPI Number | 1366428948
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Entity Type | Individual
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Provider Name | SHERI LYNN FOX PA-C
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Gender | Female
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Dates
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Enumeration Date | 12/16/2005
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Last Update Date | 02/13/2019
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Provider Practice Location Address
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Address Line | 2460 W 26TH AVE STE 420C
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City | DENVER
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State | CO
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Zip | 80211-5363
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Country | US
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Telephone | 303-698-0333
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Fax | 303-698-1298
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Provider Business Mailing Address
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Address Line | 2460 W 26TH AVE STE 420C
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City | DENVER
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State | CO
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Zip | 80211-5363
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Country | US
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Telephone | 303-698-0333
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Fax | 303-698-0198
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 5601002946
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 995
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License Number State | CO
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