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General NPI Number Information
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NPI Number | 1770547960
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Entity Type | Individual
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Provider Name | ANTHONY EDWARD FOX O.D., M.S.
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Gender | Male
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Dates
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Enumeration Date | 04/14/2006
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Last Update Date | 06/18/2013
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Provider Practice Location Address
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Address Line | 315 E COLUMBUS AVE
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City | BELLEFONTAINE
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State | OH
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Zip | 43311-2001
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Country | US
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Telephone | 937-592-9777
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Fax |
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Provider Business Mailing Address
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Address Line | 315 E COLUMBUS AVE
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City | BELLEFONTAINE
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State | OH
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Zip | 43311-2001
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Country | US
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Telephone | 937-592-9777
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 237
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 5471 T2383
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 152WS0006X
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Taxonomy Name | Sports Vision Optometrist
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License Number | 5471 T2383
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License Number State | OH
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