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General NPI Number Information
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NPI Number | 1548906449
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Entity Type | Individual
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Provider Name | ROSEMARY FOX FNP
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Gender | Female
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Dates
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Enumeration Date | 05/12/2022
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Last Update Date | 05/12/2022
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Provider Practice Location Address
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Address Line | 754 CLINTON AVE
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City | BRIDGEPORT
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State | CT
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Zip | 06604-2369
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Country | US
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Telephone | 203-923-2204
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Fax | 203-923-2205
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Provider Business Mailing Address
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Address Line | 17 HOME STAKE LN
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City | KILLINGWORTH
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State | CT
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Zip | 06419-2423
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Country | US
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Telephone | 203-996-8646
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 10577
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License Number State | CT
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