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General NPI Number Information
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NPI Number | 1548597966
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Entity Type | Organization
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Legal Business Name | MICHAEL J. FOX, DDS, PLLC
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Dates
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Enumeration Date | 11/05/2009
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Last Update Date | 11/05/2009
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Provider Practice Location Address
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Address Line | 10010 E 81ST ST STE 200
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City | TULSA
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State | OK
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Zip | 74133-4556
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Country | US
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Telephone | 918-494-8666
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Fax | 918-494-6702
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Provider Business Mailing Address
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Address Line | 10010 E 81ST ST STE 200
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City | TULSA
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State | OK
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Zip | 74133-4556
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Country | US
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Telephone | 918-494-8666
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Fax | 918-494-6702
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. MICHAEL JAMES FOX
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Credential | DDS
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Telephone | 918-494-8666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 5462
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License Number State | OK
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