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General NPI Number Information
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NPI Number | 1740145622
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Entity Type | Organization
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Legal Business Name | FOSTER LOVE MINISTRIES (INC)
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Dates
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Enumeration Date | 12/22/2025
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 1519 LEE ST
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City | BRUNSWICK
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State | GA
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Zip | 31520-6928
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Country | US
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Telephone | 912-771-0005
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Fax |
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Provider Business Mailing Address
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Address Line | 1519 LEE ST
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City | BRUNSWICK
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State | GA
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Zip | 31520-6928
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Country | US
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Telephone | 912-275-0005
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MARCI BOURLAND
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Credential | REV
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Telephone | 912-771-0005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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