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General NPI Number Information
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NPI Number | 1396108148
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Entity Type | Organization
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Legal Business Name | HILLARY FOSTER, MFT
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Dates
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Enumeration Date | 03/30/2016
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Last Update Date | 03/30/2016
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Provider Practice Location Address
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Address Line | 4132 KATELLA AVE SUITE 101 A
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-3426
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Country | US
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Telephone | 949-500-5464
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Fax | 562-493-0776
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Provider Business Mailing Address
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Address Line | 4132 KATELLA AVE SUITE 101 A
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-3426
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Country | US
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Telephone | 949-500-5464
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Fax | 562-493-0776
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Authorized Official
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Title or Position | MFT
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Name | HILLARY ELAINE FOSTER
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Credential | MA
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Telephone | 949-500-5464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 38166
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License Number State | CA
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