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General NPI Number Information
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NPI Number | 1669976114
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Entity Type | Individual
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Provider Name | KELLI LYNN FOX DO
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Gender | Female
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Dates
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Enumeration Date | 03/20/2018
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 1200 E BROAD ST
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City | RICHMOND
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State | VA
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Zip | 23298-5025
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Country | US
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Telephone | 804-828-9783
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 980257
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City | RICHMOND
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State | VA
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Zip | 23298-0257
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Country | US
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Telephone | 804-828-9783
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 34.014970
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 0102207244
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 0102207244
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 207RA0001X
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Taxonomy Name | Advanced Heart Failure and Transplant Cardiology Physician
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License Number | 0102207244
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License Number State | VA
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