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General NPI Number Information
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NPI Number | 1609912070
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Entity Type | Individual
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Provider Name | GREGORY ALAN FOSTER M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 12/17/2014
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Provider Practice Location Address
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Address Line | 205 WEST CARACAS AVENUE SUITE 101
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City | HERSHEY
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State | PA
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Zip | 17033
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Country | US
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Telephone | 717-298-6280
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Fax | 717-298-6283
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Provider Business Mailing Address
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Address Line | 205 WEST CARACAS AVENUE SUITE 101
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City | HERSHEY
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State | PA
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Zip | 17033
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Country | US
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Telephone | 717-298-6280
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Fax | 717-298-6283
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | T - 1892
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD437889
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License Number State | PA
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