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General NPI Number Information
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NPI Number | 1023122264
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Entity Type | Organization
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Legal Business Name | BENJAMIN W. FOSTER, JR. D.D.S. INC.
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 10/31/2011
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Provider Practice Location Address
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Address Line | 3800 POPLAR HILL RD STE F
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City | CHESAPEAKE
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State | VA
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Zip | 23321-5522
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Country | US
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Telephone | 757-484-8564
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Fax |
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Provider Business Mailing Address
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Address Line | 3800 POPLAR HILL RD STE F
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City | CHESAPEAKE
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State | VA
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Zip | 23321-5522
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Country | US
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Telephone | 757-484-8564
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/DENTIST
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Name | BENJAMIN W FOSTER JR.
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Credential | D.D.S.
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Telephone | 757-484-8564
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 3955
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License Number State | VA
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