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General NPI Number Information
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NPI Number | 1598395048
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Entity Type | Organization
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Legal Business Name | FOX CARING HOME LLC
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Dates
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Enumeration Date | 01/23/2020
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Last Update Date | 01/23/2020
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Provider Practice Location Address
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Address Line | 21895 N CELTIC AVE
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City | MARICOPA
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State | AZ
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Zip | 85139-5473
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Country | US
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Telephone | 520-510-0433
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Fax | 520-423-3316
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Provider Business Mailing Address
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Address Line | 21895 N CELTIC AVE
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City | MARICOPA
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State | AZ
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Zip | 85139-5473
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Country | US
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Telephone | 520-510-0433
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Fax | 520-423-3316
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Authorized Official
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Title or Position | CEO
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Name | LAURA NADINE FOX
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Credential |
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Telephone | 951-259-0431
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 177F00000X
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Taxonomy Name | Lodging Provider
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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