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Individual
TIA LYNN FOX
Active
Individual
TIA LYNN FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
001011773
NC
208D00000X
General Practice Physician
PA9110439
FL
363A00000X
Physician Assistant
Primary
0010-11773
NC
Other
Enumeration date
08/23/2017
Last updated
05/07/2025
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