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General NPI Number Information
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NPI Number | 1770363418
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Entity Type | Individual
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Provider Name | GIGI FOX PMHNP
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Gender | Female
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Dates
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Enumeration Date | 10/02/2023
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Last Update Date | 10/19/2026
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Provider Practice Location Address
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Address Line | 450 LONGHORN RD
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City | WICKENBURG
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State | AZ
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Zip | 85390-1023
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Country | US
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Telephone | 602-317-1525
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Fax |
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Provider Business Mailing Address
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Address Line | 450 LONGHORN RD
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City | WICKENBURG
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State | AZ
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Zip | 85390-1023
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Country | US
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Telephone | 602-317-1525
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | RN190618
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 2084B0040X
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Taxonomy Name | Behavioral Neurology & Neuropsychiatry Physician
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License Number | 302751
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | APRN-5795-0
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License Number State | HI
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Taxonomy #4
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | RN-129287-0
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License Number State | HI
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