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General NPI Number Information
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NPI Number | 1750423968
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Entity Type | Organization
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Legal Business Name | H. JOSEPH FOSTER III
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 04/29/2009
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Provider Practice Location Address
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Address Line | 501 ROCHESTER HWY STE C2
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City | SENECA
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State | SC
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Zip | 29672-2463
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Country | US
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Telephone | 864-985-0808
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Fax | 864-985-0525
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Provider Business Mailing Address
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Address Line | 501 ROCHESTER HWY STE C2
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City | SENECA
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State | SC
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Zip | 29672-2463
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Country | US
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Telephone | 864-985-0808
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Fax | 864-985-0525
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Authorized Official
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Title or Position | PODIATRIST
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Name | DR. HEYWARD JOSEPH FOSTER III
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Credential | DPM
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Telephone | 864-985-0808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | 108
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License Number State | SC
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