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General NPI Number Information
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NPI Number | 1447149802
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Entity Type | Organization
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Legal Business Name | FOX & CUB FAMILY WELLNESS
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Dates
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Enumeration Date | 07/01/2025
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 580 ROHNERT PARK EXPRESSWAY APT 247
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City | ROHNERT PARK
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State | CA
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Zip | 94928
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Country | US
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Telephone | 707-480-3235
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Fax |
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Provider Business Mailing Address
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Address Line | 1275 4TH ST UNIT 267
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City | SANTA ROSA
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State | CA
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Zip | 95404-4057
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Country | US
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Telephone | 707-480-3235
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | OLIVIA FOX
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Credential | CD-L, P-ICD
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Telephone | 707-480-3235
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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