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General NPI Number Information
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NPI Number | 1366409930
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Entity Type | Individual
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Provider Name | DAVID J FOSCUE M.D. , PA
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Gender | Male
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Dates
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Enumeration Date | 04/27/2006
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Last Update Date | 03/27/2023
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Provider Practice Location Address
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Address Line | 1615 W PERSIMMON ST
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City | ROGERS
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State | AR
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Zip | 72756-3359
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Country | US
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Telephone | 479-636-7192
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Fax | 479-621-9749
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Provider Business Mailing Address
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Address Line | 513 N SHILOH ST
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City | SPRINGDALE
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State | AR
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Zip | 72764-3343
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Country | US
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Telephone | 479-419-9902
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Fax | 479-419-9950
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | E-0549
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License Number State | AR
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