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General NPI Number Information
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NPI Number | 1134092844
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Entity Type | Individual
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Provider Name | JADA KIARA FOSTER PTA
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Gender | Female
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Dates
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Enumeration Date | 09/29/2025
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 2522 WESTMINISTER ST
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City | PEARLAND
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State | TX
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Zip | 77581-4518
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Country | US
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Telephone | 281-997-8509
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Fax | 888-449-0039
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Provider Business Mailing Address
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Address Line | 1216 EAGLE LAKES DR
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City | FRIENDSWOOD
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State | TX
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Zip | 77546-5885
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Country | US
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Telephone | 832-916-5872
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Fax |
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2183364
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License Number State | TX
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