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General NPI Number Information
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NPI Number | 1871002881
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Entity Type | Organization
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Legal Business Name | FOX THERAPY SERVICES
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Dates
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Enumeration Date | 09/21/2017
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 31822 VILLAGE CENTER RD STE 107
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361-4329
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Country | US
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Telephone | 818-532-7884
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Fax | 805-309-5209
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Provider Business Mailing Address
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Address Line | 31822 VILLAGE CENTER RD STE 107
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361-4329
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Country | US
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Telephone | 818-532-7884
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Fax |
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLGIST/ OWNER
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Name | JESSIE FOX BLOIS
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Credential | M.A., CCC-SLP
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Telephone | 805-551-2441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number | 17514
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License Number State | CA
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