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General NPI Number Information
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NPI Number | 1740999044
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Entity Type | Individual
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Provider Name | AMBER FOX
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Gender | Female
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Dates
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Enumeration Date | 11/16/2022
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Last Update Date | 11/16/2022
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Provider Practice Location Address
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Address Line | 4100 W 3RD ST
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City | DAYTON
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State | OH
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Zip | 45428-9000
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Country | US
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Telephone | 937-268-6511
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Fax |
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Provider Business Mailing Address
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Address Line | 7927 MIDDLETOWN GERMANTOWN RD
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City | GERMANTOWN
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State | OH
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Zip | 45327-9610
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Country | US
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Telephone | 513-292-7922
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | R8870832
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License Number State | OH
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