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General NPI Number Information
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NPI Number | 1740855014
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Entity Type | Organization
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Legal Business Name | JAMES P. FOSTER, INC.
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Dates
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Enumeration Date | 05/20/2021
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Last Update Date | 05/20/2021
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Provider Practice Location Address
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Address Line | 8330 MEADOW RD STE 200
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City | DALLAS
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State | TX
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Zip | 75231-0314
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Country | US
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Telephone | 972-639-4963
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Fax |
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Provider Business Mailing Address
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Address Line | 1714 ROBERTS RAVINE RD
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City | WYLIE
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State | TX
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Zip | 75098-6710
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Country | US
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Telephone | 972-639-4963
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Fax |
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Authorized Official
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Title or Position | THERAPIST/OWNER
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Name | JAMES PATRICK FOSTER
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Credential | LCSW
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Telephone | 972-639-4963
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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