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General NPI Number Information
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NPI Number | 1659854685
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Entity Type | Individual
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Provider Name | CHRISTINA ALICIA FOX LGSW
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Gender | Female
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Dates
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Enumeration Date | 09/14/2018
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Last Update Date | 09/14/2018
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Provider Practice Location Address
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Address Line | 17904 GEORGIA AVE STE 200
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City | OLNEY
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State | MD
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Zip | 20832-2277
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Country | US
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Telephone | 240-304-3327
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Fax |
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Provider Business Mailing Address
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Address Line | 10914 GEORGIA AVE APT 637
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City | SILVER SPRING
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State | MD
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Zip | 20902-4450
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Country | US
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Telephone | 719-314-6719
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | LG50082516
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License Number State | DC
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