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General NPI Number Information
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NPI Number | 1730227901
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Entity Type | Individual
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Provider Name | JOHN FOSTER MIDDLETON M.A.
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Gender | Male
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 07/12/2013
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Provider Practice Location Address
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Address Line | 420 W FLEMING DR SUITE C
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City | MORGANTON
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State | NC
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Zip | 28655-3966
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Country | US
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Telephone | 828-438-6218
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Fax | 828-439-2340
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Provider Business Mailing Address
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Address Line | 420 W FLEMING DR SUITE C
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City | MORGANTON
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State | NC
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Zip | 28655-3966
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Country | US
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Telephone | 828-438-6218
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Fax | 828-439-2340
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0370
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 0370
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License Number State | NC
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