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General NPI Number Information
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NPI Number | 1669833794
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Entity Type | Individual
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Provider Name | REBECCA ANNE FOX RN
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Gender | Female
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Dates
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Enumeration Date | 03/17/2016
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Last Update Date | 03/17/2016
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Provider Practice Location Address
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Address Line | 943 HUALAPAI WAY PEACH SPRINGS HEALTH CENTER
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City | PEACH SPRINGS
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State | AZ
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Zip | 86434
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Country | US
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Telephone | 928-769-2959
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Fax | 928-769-2901
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Provider Business Mailing Address
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Address Line | 1152 E MCMURRAY BLVD
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City | CASA GRANDE
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State | AZ
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Zip | 85122-3622
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Country | US
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Telephone | 928-769-2959
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Fax | 928-769-2901
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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 | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number | RN162890
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 163WP2201X
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Taxonomy Name | Ambulatory Care Registered Nurse
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License Number | RN162890
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License Number State | AZ
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