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General NPI Number Information
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NPI Number | 1508654211
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Entity Type | Individual
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Provider Name | KIMBERLY A FOSTER OTR
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Gender | Female
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Dates
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Enumeration Date | 04/30/2025
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 2101 S GARFIELD AVE
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City | LOVELAND
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State | CO
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Zip | 80537-7377
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Country | US
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Telephone | 970-669-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 45691 COUNTY ROAD 15
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City | FORT COLLINS
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State | CO
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Zip | 80524-9109
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Country | US
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Telephone |
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 1075136
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License Number State | CO
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