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General NPI Number Information
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NPI Number | 1033092465
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Entity Type | Organization
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Legal Business Name | FOSTER INVESTMENTS LLC
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Dates
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Enumeration Date | 07/31/2025
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 3515 POLE LINE RD
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City | POCATELLO
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State | ID
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Zip | 83201
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Country | US
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Telephone | 208-360-1038
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Fax |
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Provider Business Mailing Address
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Address Line | 3454 E 200 N
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City | RIGBY
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State | ID
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Zip | 83442-5400
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | BILLING DIRECTOR
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Name | DEMI ECHI-ABOLI
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Credential |
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Telephone | 208-360-1038
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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