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General NPI Number Information
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NPI Number | 1023710951
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Entity Type | Individual
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Provider Name | JAMES JOSEPH FOSTER JR. DPT
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Gender | Male
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Dates
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Enumeration Date | 03/22/2023
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 6600 VAN AALST BLVD
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City | FORT BENNING
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State | GA
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Zip | 31905-2102
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Country | US
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Telephone | 762-408-0455
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Fax |
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Provider Business Mailing Address
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Address Line | 3074 WALKER RD
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City | DUPONT
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State | WA
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Zip | 98327-7723
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Country | US
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Telephone | 410-925-7845
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT6415
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License Number State | ME
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