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General NPI Number Information
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NPI Number | 1346322773
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Entity Type | Individual
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Provider Name | DONALD M FOSTER MA, CCC/SLP
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Gender | Male
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6420 CLAYTON RD SSM REHAB 6TH FLOOR
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City | SAINT LOUIS
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State | MO
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Zip | 63117-1811
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Country | US
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Telephone | 314-768-5341
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Fax | 314-768-5316
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Provider Business Mailing Address
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Address Line | 558 HOLLYWOOD PL
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City | WEBSTER GROVES
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State | MO
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Zip | 63119-3519
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Country | US
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Telephone | 314-968-1865
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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 | 102622
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License Number State | MO
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