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General NPI Number Information
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NPI Number | 1578299590
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Entity Type | Individual
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Provider Name | JESSICA FOX MA, NCC, LPC
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Gender | Female
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Dates
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Enumeration Date | 08/01/2022
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Last Update Date | 08/01/2022
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Provider Practice Location Address
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Address Line | 3333 N FRONT ST
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City | HARRISBURG
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State | PA
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Zip | 17110-1436
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Country | US
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Telephone | 717-223-1681
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Fax |
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Provider Business Mailing Address
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Address Line | 207 MULBERRY ST APT 39
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City | HARRISBURG
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State | PA
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Zip | 17104-3507
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Country | US
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Telephone | 215-264-6598
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | PC014644
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License Number State | PA
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