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Individual
REBECCA ANNE FOX
Active
Individual
REBECCA ANNE FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MT192629
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT192629
PA STATE MEDICAL TRAINEE LICENSE #
PA
Enumeration date
09/06/2008
Last updated
09/06/2008
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