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General NPI Number Information
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NPI Number | 1992748271
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Entity Type | Individual
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Provider Name | HERBERT A FOX MD
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Gender | Male
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 04/11/2016
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Provider Practice Location Address
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Address Line | 1 5TH AVE APT 1A
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City | NEW YORK
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State | NY
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Zip | 10003-4313
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Country | US
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Telephone | 212-674-8622
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Fax | 212-988-1043
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Provider Business Mailing Address
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Address Line | 20 E 9TH ST
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City | NEW YORK
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State | NY
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Zip | 10003
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Country | US
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Telephone | 212-674-8622
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Fax | 212-353-8616
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | NYS106890
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License Number State | NY
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