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General NPI Number Information
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NPI Number | 1275018830
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Entity Type | Individual
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Provider Name | TODNE ANGELINA FOSTER
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Gender | Female
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Dates
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Enumeration Date | 09/30/2018
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Last Update Date | 01/17/2019
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Provider Practice Location Address
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Address Line | 1400 NALLEY TER
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City | LANDOVER
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State | MD
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Zip | 20785-4434
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Country | US
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Telephone | 240-696-3210
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 LAKESIDE PARKWAY STE 800
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City | TUCKER
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State | GA
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Zip | 30084
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Country | US
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Telephone | 770-225-3008
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SLPCF000032
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 01802L
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License Number State | MD
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