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General NPI Number Information
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NPI Number | 1043257017
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Entity Type | Individual
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Provider Name | REGINA E FORSTER MD
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Gender | Female
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Dates
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Enumeration Date | 05/31/2006
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Last Update Date | 04/15/2019
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Provider Practice Location Address
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Address Line | 2716 OLD ROSEBUD RD STE 230
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City | LEXINGTON
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State | KY
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Zip | 40509-8003
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Country | US
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Telephone | 859-351-1310
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Fax | 888-510-2032
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Provider Business Mailing Address
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Address Line | 1112 MORNING SIDE DR
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City | LEXINGTON
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State | KY
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Zip | 40509-2348
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Country | US
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Telephone | 859-351-1310
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Fax | 888-510-2032
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 34586
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License Number State | KY
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