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General NPI Number Information
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NPI Number | 1629317458
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Entity Type | Organization
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Legal Business Name | KAREN FOX CONTRACTING
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Dates
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Enumeration Date | 02/14/2013
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Last Update Date | 02/14/2013
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Provider Practice Location Address
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Address Line | 3107 TAIT TER
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City | NORFOLK
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State | VA
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Zip | 23509-2315
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Country | US
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Telephone | 757-754-8643
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Fax | 757-855-6358
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Provider Business Mailing Address
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Address Line | 3107 TAIT TER
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City | NORFOLK
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State | VA
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Zip | 23509-2315
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Country | US
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Telephone | 757-754-8643
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Fax | 757-855-6358
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Authorized Official
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Title or Position | OWNER
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Name | MS. KAREN ANN FOX
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Credential | GENERAL CONTRACTOR
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Telephone | 757-754-8643
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 2705146719
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License Number State | VA
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