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General NPI Number Information
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NPI Number | 1366731069
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Entity Type | Organization
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Legal Business Name | CRAIG R. FOSTER, MD, LLC
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Dates
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Enumeration Date | 04/04/2011
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Last Update Date | 04/04/2011
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Provider Practice Location Address
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Address Line | 8 RESEARCH PKWY
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City | WALLINGFORD
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State | CT
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Zip | 06492-1930
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Country | US
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Telephone | 203-265-9122
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Fax | 203-265-9159
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Provider Business Mailing Address
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Address Line | 8 RESEARCH PKWY
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City | WALLINGFORD
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State | CT
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Zip | 06492-1930
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Country | US
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Telephone | 203-265-9122
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Fax | 203-265-9159
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CRAIG FOSTER
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Credential | MD
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Telephone | 203-265-9122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 022253
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License Number State | CT
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