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General NPI Number Information
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NPI Number | 1124357579
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Entity Type | Organization
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Legal Business Name | TAWNYA S. FOSTER, PSY.D., LLC
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Dates
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Enumeration Date | 12/14/2009
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Last Update Date | 12/14/2009
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Provider Practice Location Address
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Address Line | 11 W COOKE RD SUITE 6
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City | COLUMBUS
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State | OH
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Zip | 43214-3068
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Country | US
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Telephone | 614-638-5195
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Fax |
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Provider Business Mailing Address
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Address Line | 136 SHEFFIELD RD
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City | COLUMBUS
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State | OH
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Zip | 43214-2543
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Country | US
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Telephone | 614-638-5195
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST/OWNER
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Name | DR. TAWNYA S. FOSTER
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Credential | PSY.D.
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Telephone | 614-638-5195
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 5605
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License Number State | OH
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