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General NPI Number Information
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NPI Number | 1922152933
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Entity Type | Organization
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Legal Business Name | MARTIN S FOX
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 12/13/2024
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Provider Practice Location Address
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Address Line | 4001 KRESGE WAY SUITE 320
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City | LOUISVILLE
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State | KY
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Zip | 40207-4640
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Country | US
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Telephone | 502-895-5850
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Fax | 502-895-1210
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Provider Business Mailing Address
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Address Line | 4001 KRESGE WAY SUITE 320
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City | LOUISVILLE
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State | KY
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Zip | 40207-4640
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Country | US
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Telephone | 502-895-5850
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Fax | 502-895-1210
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. RUTH S FOX
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Credential |
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Telephone | 502-895-5850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2082S0099X
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Taxonomy Name | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
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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 | 2082S0105X
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Taxonomy Name | Surgery of the Hand (Plastic Surgery) Physician
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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 | 2086S0105X
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Taxonomy Name | Surgery of the Hand (Surgery) Physician
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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 | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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