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General NPI Number Information
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NPI Number | 1841026135
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Entity Type | Individual
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Provider Name | KATHY FOX MA-MFT, TLMFT
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Gender | Female
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Dates
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Enumeration Date | 09/12/2024
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Last Update Date | 09/12/2024
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Provider Practice Location Address
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Address Line | 1811 BOYSON RD
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City | HIAWATHA
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State | IA
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Zip | 52233-1386
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Country | US
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Telephone | 319-250-1267
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Fax |
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Provider Business Mailing Address
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Address Line | 1309 LEGEND DR
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City | TIFFIN
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State | IA
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Zip | 52340-1301
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Country | US
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Telephone | 563-940-7725
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 124736
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License Number State | IA
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