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General NPI Number Information
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NPI Number | 1477611580
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Entity Type | Organization
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Legal Business Name | FOX'S SPOKANE DENTURE CLINIC
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 3009 S MT VERNON SUITE 2
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City | SPOKANE
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State | WA
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Zip | 99223
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Country | US
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Telephone | 509-535-7434
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Fax | 509-536-4744
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Provider Business Mailing Address
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Address Line | 3009 S MT VERNON SUITE 2
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City | SPOKANE
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State | WA
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Zip | 99223
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Country | US
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Telephone | 509-535-7434
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Fax | 509-536-4744
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Authorized Official
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Title or Position | OWNER
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Name | CAPRI FOX
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Credential | LD, DPD
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Telephone | 509-535-7434
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122400000X
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Taxonomy Name | Denturist
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License Number | DN00000044
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License Number State | WA
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