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General NPI Number Information
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NPI Number | 1669395588
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Entity Type | Individual
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Provider Name | NATHAN TIMOTHY FOX LAC, MA, NCC
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Gender | Male
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Dates
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Enumeration Date | 07/30/2026
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Last Update Date | 07/30/2026
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Provider Practice Location Address
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Address Line | 411 KINGS HWY S
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City | CHERRY HILL
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State | NJ
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Zip | 08034-2512
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Country | US
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Telephone | 856-509-5418
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Fax | 609-283-0025
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Provider Business Mailing Address
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Address Line | 845 BRIDGEBORO ST
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City | RIVERSIDE
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State | NJ
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Zip | 08075-3436
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Country | US
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Telephone | 856-394-3655
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 37AC00837100
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License Number State | NJ
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