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General NPI Number Information
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NPI Number | 1891847083
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Entity Type | Individual
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Provider Name | CAROLYN RUTH FOX N.P.
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Gender | Female
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 866 CAMPUS DR
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City | STANFORD
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State | CA
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Zip | 94305-8508
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Country | US
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Telephone | 650-724-7647
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Fax |
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Provider Business Mailing Address
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Address Line | 973 CAMPBELL AVE
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City | LOS ALTOS
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State | CA
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Zip | 94024-4840
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Country | US
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Telephone | 650-941-2648
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN472912
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License Number State | CA
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