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General NPI Number Information
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NPI Number | 1306015839
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Entity Type | Organization
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Legal Business Name | FOSTER CHIROPRACTIC CLINIC, PC
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Dates
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Enumeration Date | 02/28/2008
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Last Update Date | 02/28/2008
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Provider Practice Location Address
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Address Line | 2018 35TH AVE UNIT B
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City | GREELEY
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State | CO
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Zip | 80634-3966
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Country | US
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Telephone | 970-339-3309
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Fax |
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Provider Business Mailing Address
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Address Line | 2018 B 35TH AVENUE
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City | GREELEY
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State | CO
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Zip | 80634
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVE FOSTER
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Credential | DC
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Telephone | 970-339-3309
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 1955
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License Number State | CO
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