Basic Information
Provider Information
NPI: 1609302066
EntityType: 2
ReplacementNPI:  
OrganizationName: FOXCARE INTEGRATIVE HEALTH
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Mailing Information
Address1: 224D CORNWALL ST NW
Address2: SUITE 403
City: LEESBURG
State: VA
PostalCode: 201762700
CountryCode: US
TelephoneNumber: 7037376001
FaxNumber: 7034438643
Practice Location
Address1: 1410 ROLKIN CT
Address2: SUITE 201
City: CHARLOTTESVILLE
State: VA
PostalCode: 229113587
CountryCode: US
TelephoneNumber: 7034217000
FaxNumber: 7034304830
Other Information
ProviderEnumerationDate: 05/04/2017
LastUpdateDate: 05/05/2017
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AuthorizedOfficialLastName: FOX
AuthorizedOfficialFirstName: REBECCA
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AuthorizedOfficialTitleorPosition: PRESIDENT
AuthorizedOfficialTelephone: 7034217000
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IsOrganizationSubpart: N
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Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000X  Y193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


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