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General NPI Number Information
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NPI Number | 1477842375
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Entity Type | Individual
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Provider Name | MARGARET SHELTON FORESTER LMT
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Gender | Female
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Dates
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Enumeration Date | 03/31/2011
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Last Update Date | 03/31/2011
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Provider Practice Location Address
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Address Line | 1411 N MAIN ST
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City | LA FAYETTE
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State | GA
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Zip | 30728-6435
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Country | US
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Telephone | 423-305-3832
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Fax |
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Provider Business Mailing Address
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Address Line | 214 WOODHAVEN DR
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City | LA FAYETTE
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State | GA
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Zip | 30728-4918
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Country | US
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Telephone | 423-305-3832
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 6283
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 8354
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License Number State | TN
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