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General NPI Number Information
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NPI Number | 1326233487
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Entity Type | Individual
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Provider Name | LISA JEAN FOSTER NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 09/12/2007
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Last Update Date | 04/29/2014
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Provider Practice Location Address
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Address Line | 4125 MEDINA ROAD, SUITE 104 THE SURGERY CENTER
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City | AKRON
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State | OH
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Zip | 44312
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Country | US
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Telephone | 330-665-8124
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Fax | 330-665-8129
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Provider Business Mailing Address
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Address Line | 4125 MEDINA ROAD, SUITE 104 THE SURGERY CENTER
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City | AKRON
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State | OH
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Zip | 44312
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Country | US
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Telephone | 330-665-8124
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Fax | 330-665-8129
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | NP-08945
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License Number State | OH
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