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General NPI Number Information
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NPI Number | 1881241842
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Entity Type | Organization
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Legal Business Name | MEGHAN L. FOX, PSY.D., P.L.L.C.
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Dates
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Enumeration Date | 08/23/2019
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Last Update Date | 08/23/2019
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Provider Practice Location Address
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Address Line | 1580 ELMWOOD AVE STE D
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City | ROCHESTER
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State | NY
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Zip | 14620-3620
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Country | US
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Telephone | 585-633-8758
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Fax |
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Provider Business Mailing Address
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Address Line | 1580 ELMWOOD AVE STE D
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City | ROCHESTER
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State | NY
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Zip | 14620-3620
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Country | US
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Telephone | 585-633-8758
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST/OWNER
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Name | MEGHAN LEAH FOX
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Credential | PSY.D.
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Telephone | 585-633-8758
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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