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General NPI Number Information
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NPI Number | 1922394584
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Entity Type | Individual
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Provider Name | GERALDINE A FOX LCSW-C (MD) LICSW (W
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Gender | Female
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Dates
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Enumeration Date | 06/22/2011
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 158 N WHAT A VIEW LANE
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City | KEYSER
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State | WV
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Zip | 26726
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Country | US
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Telephone | 304-209-8609
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Fax |
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Provider Business Mailing Address
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Address Line | 158 N WHAT A VIEW LANE
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City | KEYSER
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State | WV
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Zip | 26726
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Country | US
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Telephone | 304-209-8609
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 19512
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904018862
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | DP00943935
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License Number State | WV
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