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Individual
MS. MEREDITH FOX
Active
Individual
MS. MEREDITH FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007377
VA
1041C0700X
Clinical Social Worker
R-031017-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010031017
BC/BS PROVIDER ID
NY
05
—
01406679
—
NY
01
—
103295FK
PREF CARE PROVIDER ID
NY
01
—
5987487
AETNA PROVIDER ID
NY
01
—
740-3598
GHI PROVIDER ID
NY
01
—
800012686
RAILROAD MEDICARE PR ID #
NY
Enumeration date
01/12/2006
Last updated
03/15/2017
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