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General NPI Number Information
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NPI Number | 1790104982
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Entity Type | Organization
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Legal Business Name | JAMES J FOSTER & ASSOCIATES, LTD
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Dates
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Enumeration Date | 04/15/2014
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Last Update Date | 05/05/2014
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Provider Practice Location Address
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Address Line | 540 CHESTNUT ST SUITE 102
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City | MANCHESTER
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State | NH
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Zip | 03101-1447
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Country | US
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Telephone | 603-668-7744
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Fax |
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Provider Business Mailing Address
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Address Line | 540 CHESTNUT ST SUITE 102
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City | MANCHESTER
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State | NH
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Zip | 03101-1447
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/DIRECTOR
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Name | JAMES J FOSTER
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Credential | LICSW
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Telephone | 603-668-7744
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 25
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License Number State | NH
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