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General NPI Number Information
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NPI Number | 1376698209
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Entity Type | Individual
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Provider Name | LINDA T FOSTER MSW LICSW
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Gender | Female
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2112 RIVERDALE ST
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City | WEST SPRINGFIELD
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State | MA
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Zip | 01089
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Country | US
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Telephone | 413-827-4235
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Fax | 413-827-4204
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Provider Business Mailing Address
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Address Line | 31 GRANDVIEW ST
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City | S HADLEY
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State | MA
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Zip | 01075
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Country | US
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Telephone | 413-552-0726
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1017937
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License Number State | MA
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