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NPI 1497024913

NPI 1497024913 : SARAH FOSTER LM, CPM : TULSA, OK

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General NPI Number Information
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    NPI Number           |    1497024913
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    Entity Type          |    Individual 
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    Provider Name        |    SARAH FOSTER LM, CPM
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/29/2011
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    Last Update Date     |    08/08/2015
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Provider Practice Location Address
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    Address Line         |    5932 E 43RD ST 
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    City                 |    TULSA
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    State                |    OK
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    Zip                  |    74135-6506
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    Country              |    US
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    Telephone            |    580-716-6375
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    Fax                  |    314-375-8570
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Provider Business Mailing Address
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    Address Line         |    5932 E 43RD ST 
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    City                 |    TULSA
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    State                |    OK
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    Zip                  |    74135-6506
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    Country              |    US
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    Telephone            |    580-716-6375
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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        |    176B00000X
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    Taxonomy Name        |    Midwife
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    License Number       |    99239
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    License Number State |    TX
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