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General NPI Number Information
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NPI Number | 1073733812
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Entity Type | Organization
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Legal Business Name | FOSTERBRIDGE, INC.
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 700 MAIN ST
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City | BRIDGEPORT
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State | OH
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Zip | 43912-1314
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Country | US
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Telephone | 740-609-3893
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Fax | 740-609-3897
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Provider Business Mailing Address
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Address Line | 700 MAIN ST
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City | BRIDGEPORT
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State | OH
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Zip | 43912-1314
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Country | US
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Telephone | 740-609-3893
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Fax | 740-609-3897
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MATEJ KRET
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Credential |
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Telephone | 740-609-3893
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 972743
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License Number State | OH
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