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General NPI Number Information
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NPI Number | 1376622720
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Entity Type | Organization
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Legal Business Name | RICHARD L FOX DO PA
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 02/25/2014
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Provider Practice Location Address
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Address Line | 7171 N UNIVERSITY DR STE 306
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City | TAMARAC
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State | FL
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Zip | 33321-2902
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Country | US
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Telephone | 954-721-4300
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Fax | 954-721-8080
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Provider Business Mailing Address
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Address Line | 7171 N UNIVERSITY DR STE 203
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City | TAMARAC
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State | FL
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Zip | 33321-2902
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Country | US
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Telephone | 954-721-4300
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Fax | 954-721-8080
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Authorized Official
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Title or Position | OWNERPRESIDENT
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Name | DR. RICHARD L FOX
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Credential | DO
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Telephone | 954-721-4300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME97201
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | OS8487
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License Number State | FL
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