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General NPI Number Information
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NPI Number | 1114218179
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Entity Type | Organization
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Legal Business Name | TIMOTHY S. FOSTER, DMD
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Dates
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Enumeration Date | 04/26/2011
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Last Update Date | 04/26/2011
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Provider Practice Location Address
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Address Line | 2531 PARK DR SUITE B
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City | NASHVILLE
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State | TN
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Zip | 37214-2158
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Country | US
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Telephone | 615-883-7700
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Fax |
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Provider Business Mailing Address
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Address Line | 2531 PARK DR SUITE B
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City | NASHVILLE
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State | TN
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Zip | 37214-2158
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Country | US
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Telephone | 615-883-7700
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. TIMOTHY SCOTT FOSTER
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Credential | D.M.D.
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Telephone | 615-883-7700
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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 | 3904
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License Number State | TN
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