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General NPI Number Information
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NPI Number | 1417098583
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Entity Type | Individual
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Provider Name | TRICIA FOSTER MSW, LISAC, RN
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Gender | Female
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 75 N GARDEN AVE
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City | SIERRA VISTA
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State | AZ
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Zip | 85635-3805
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Country | US
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Telephone | 520-610-0010
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Fax |
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Provider Business Mailing Address
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Address Line | 75 N GARDEN AVE
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City | SIERRA VISTA
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State | AZ
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Zip | 85635-3805
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Country | US
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Telephone | 520-610-0010
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 11515
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 249278
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95352829
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License Number State | CA
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