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General NPI Number Information
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NPI Number | 1457693616
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Entity Type | Organization
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Legal Business Name | FOX OPTOMETRY, LLC
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Dates
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Enumeration Date | 03/26/2013
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Last Update Date | 06/18/2013
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Provider Practice Location Address
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Address Line | 315 E COLUMBUS AVE
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City | BELLEFONTAINE
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State | OH
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Zip | 43311-2001
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Country | US
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Telephone | 937-592-9777
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Fax | 937-592-4060
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Provider Business Mailing Address
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Address Line | 315 E COLUMBUS AVE
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City | BELLEFONTAINE
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State | OH
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Zip | 43311-2001
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Country | US
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Telephone | 937-592-9777
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Fax | 937-592-4060
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. ANTHONY E FOX
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Credential | O.D., M.S.
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Telephone | 614-787-6700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 5471
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License Number State | OH
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