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General NPI Number Information
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NPI Number | 1558885400
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Entity Type | Organization
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Legal Business Name | JAMES FOX MD, LLC
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Dates
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Enumeration Date | 08/02/2017
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Last Update Date | 08/02/2017
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Provider Practice Location Address
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Address Line | 709 OLD TROLLEY RD
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City | SUMMERVILLE
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State | SC
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Zip | 29485-5203
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Country | US
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Telephone | 843-670-0131
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Fax |
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Provider Business Mailing Address
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Address Line | 426 RHETT BUTLER DR
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City | CHARLESTON
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State | SC
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Zip | 29414-7158
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES FOX
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Credential | MD
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Telephone | 843-670-0131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 29770
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License Number State | SC
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