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General NPI Number Information
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NPI Number | 1609981026
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Entity Type | Individual
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Provider Name | JESSICA LYN FOX DO
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Gender | Female
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 170 MEDICAL PARK RD STE 205
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City | MOORESVILLE
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State | NC
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Zip | 28117-8541
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Country | US
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Telephone | 704-663-5056
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Fax | 704-663-5780
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Provider Business Mailing Address
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Address Line | PO BOX 1845
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City | STATESVILLE
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State | NC
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Zip | 28687-1845
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Country | US
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Telephone | 704-873-4277
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 2010-00709
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2010-00709
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License Number State | NC
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