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General NPI Number Information
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NPI Number | 1659428258
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Entity Type | Individual
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Provider Name | MARIE ANNETTE FOX LMSW
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Gender | Female
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 04/14/2020
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Provider Practice Location Address
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Address Line | 2265 LIVERNOIS RD STE 260
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City | TROY
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State | MI
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Zip | 48083-1639
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Country | US
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Telephone | 248-906-0794
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Fax | 866-656-1713
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Provider Business Mailing Address
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Address Line | 29696 SPOON AVE
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City | MADISON HEIGHTS
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State | MI
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Zip | 48071-4437
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Country | US
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Telephone | 985-688-0208
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Fax | 866-656-1713
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801083185
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License Number State | MI
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