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General NPI Number Information
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NPI Number | 1275049231
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Entity Type | Individual
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Provider Name | EUGENIA FOSTER LCPC
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Gender | Female
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Dates
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Enumeration Date | 12/28/2017
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Last Update Date | 01/21/2022
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Provider Practice Location Address
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Address Line | 3402 FREDERICK AVE
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City | BALTIMORE
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State | MD
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Zip | 21229-5987
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Country | US
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Telephone | 301-456-0528
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Fax |
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Provider Business Mailing Address
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Address Line | 8702 DULWICK CT APT 34
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City | LAUREL
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State | MD
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Zip | 20708-3491
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Country | US
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Telephone | 443-447-3362
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PRC20001241
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LC8125
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701007497
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LC8125
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License Number State | MD
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