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General NPI Number Information
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NPI Number | 1407718976
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Entity Type | Organization
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Legal Business Name | FOSTER MINDS PSYCHIATRY, LLC
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 34125 US HIGHWAY 19 N STE 200
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City | PALM HARBOR
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State | FL
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Zip | 34684-2115
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Country | US
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Telephone | 727-435-7124
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Fax | 727-498-0674
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Provider Business Mailing Address
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Address Line | 34125 US HIGHWAY 19 N STE 200
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City | PALM HARBOR
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State | FL
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Zip | 34684-2115
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Country | US
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Telephone | 727-435-7124
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Fax | 727-498-0674
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Authorized Official
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Title or Position | OWNER
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Name | LYDIA FOSTER
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Credential | APRN, PMHNP
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Telephone | 727-485-3467
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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