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General NPI Number Information
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NPI Number | 1194114991
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Entity Type | Organization
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Legal Business Name | ANN FOSTER LTD
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Dates
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Enumeration Date | 01/16/2015
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Last Update Date | 01/16/2015
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Provider Practice Location Address
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Address Line | 65 E WACKER PL SUITE 2200
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City | CHICAGO
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State | IL
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Zip | 60601-7296
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Country | US
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Telephone | 312-460-8001
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Fax | 312-696-0405
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Provider Business Mailing Address
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Address Line | 65 E WACKER PL SUITE 2200
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City | CHICAGO
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State | IL
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Zip | 60601-7296
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Country | US
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Telephone | 312-460-8001
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Fax | 312-696-0405
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Authorized Official
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Title or Position | PRESIDENT/EXECUTIVE DIRECTOR
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Name | MS. ANN FOSTER
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Credential | LCPC
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Telephone | 312-460-8001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 060008341
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License Number State | IL
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