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General NPI Number Information
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NPI Number | 1508846155
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Entity Type | Individual
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Provider Name | EDUARDO R FOX M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/19/2006
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Last Update Date | 01/26/2012
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Provider Practice Location Address
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Address Line | 6565 ARLINGTON BLVD. STE. 210
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City | FALLS CHURCH
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State | VA
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Zip | 22042
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Country | US
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Telephone | 703-534-1000
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Fax | 703-534-1000
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Provider Business Mailing Address
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Address Line | 6565 ARLINGTON BLVD. STE. 210
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City | FALLS CHURCH
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State | VA
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Zip | 22042
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Country | US
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Telephone | 703-534-1000
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Fax | 703-536-7763
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 0101221516
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License Number State | VA
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