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General NPI Number Information
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NPI Number | 1851100507
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Entity Type | Organization
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Legal Business Name | FOX SMILE
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Dates
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Enumeration Date | 01/06/2025
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 1723 S RAY ST
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City | SPOKANE
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State | WA
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Zip | 99223-3832
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Country | US
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Telephone | 509-535-7434
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Fax |
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Provider Business Mailing Address
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Address Line | 9827 N ANDREW ST
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City | SPOKANE
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State | WA
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Zip | 99218-1308
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Country | US
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Telephone | 509-999-9149
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Fax | 509-536-4744
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Authorized Official
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Title or Position | OWNER
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Name | CAPRI FOX
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Credential | LD
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Telephone | 509-999-9149
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122400000X
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Taxonomy Name | Denturist
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License Number |
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License Number State |
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