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General NPI Number Information
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NPI Number | 1932025764
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Entity Type | Individual
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Provider Name | JORDAN ELISABETH FOX OD
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Gender | Female
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Dates
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Enumeration Date | 06/25/2026
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Last Update Date | 06/25/2026
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Provider Practice Location Address
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Address Line | 183 W APACHE TRL
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City | APACHE JUNCTION
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State | AZ
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Zip | 85120-3425
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Country | US
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Telephone | 480-824-7360
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Fax |
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Provider Business Mailing Address
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Address Line | 9031 S MINEROS DR
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City | APACHE JUNCTION
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State | AZ
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Zip | 85120-7714
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Country | US
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Telephone | 816-518-6156
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT-002960
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License Number State | AZ
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