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General NPI Number Information
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NPI Number | 1154482040
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Entity Type | Organization
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Legal Business Name | FOSTER EYE CARE, P.A.
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 21 N 12TH ST SUITE 102
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City | KANSAS CITY
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State | KS
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Zip | 66102-5161
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Country | US
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Telephone | 913-342-6100
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Fax | 913-342-2241
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Provider Business Mailing Address
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Address Line | 21 N 12TH ST SUITE 102
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City | KANSAS CITY
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State | KS
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Zip | 66102-5161
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Country | US
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Telephone | 913-342-6100
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Fax | 913-342-2241
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. KATHY MCCONNELL
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Credential |
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Telephone | 913-342-6100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 0414870
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License Number State | KS
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