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NPI 1770342792

NPI 1770342792 : FOX'S HOLISTIC CARE : NORTH EAST, MD

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General NPI Number Information
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    NPI Number           |    1770342792
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    Entity Type          |    Organization 
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    Legal Business Name  |    FOX'S HOLISTIC CARE 
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Dates
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    Enumeration Date     |    03/14/2024
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    Last Update Date     |    11/12/2025
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Provider Practice Location Address
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    Address Line         |    28 FLINT DR 
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    City                 |    NORTH EAST
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    State                |    MD
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    Zip                  |    21901-3746
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    Country              |    US
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    Telephone            |    302-797-1462
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    Fax                  |    302-291-3641
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Provider Business Mailing Address
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    Address Line         |    3301 GREEN ST 
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    City                 |    CLAYMONT
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    State                |    DE
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    Zip                  |    19703-2052
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    Country              |    US
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    Telephone            |    303-797-1462
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    Fax                  |    
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Authorized Official
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    Title or Position    |    NP
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    Name                 |     DOLAPO  FOX 
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    Credential           |    NURSE PRACTITIONER
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    Telephone            |    302-797-1462
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    
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    License Number State |    
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