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General NPI Number Information
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NPI Number | 1740763937
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Entity Type | Individual
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Provider Name | ANGELA MARIE FOX CADACIV, ICAADC
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Gender | Female
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Dates
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Enumeration Date | 09/13/2018
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 706 GREEN BLVD
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City | AURORA
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State | IN
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Zip | 47001-1506
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Country | US
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Telephone | 812-584-3615
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Fax | 812-720-3907
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Provider Business Mailing Address
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Address Line | 18051 RIVER RD STE 101
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City | NOBLESVILLE
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State | IN
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Zip | 46062-7093
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Country | US
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Telephone | 317-674-0062
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 87001626A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LICDC.161465
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 277277
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License Number State | KY
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