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General NPI Number Information
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NPI Number | 1871442608
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Entity Type | Organization
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Legal Business Name | FOSTER LEGACY HOLDINGS, LLC
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Dates
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Enumeration Date | 01/26/2026
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 4501 TWIN OAKS DR
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City | PENSACOLA
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State | FL
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Zip | 32506-6630
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Country | US
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Telephone | 601-339-1509
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Fax |
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Provider Business Mailing Address
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Address Line | 901 S OLD CORRY FIELD RD UNIT 4104
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City | PENSACOLA
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State | FL
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Zip | 32507-5605
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Country | US
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Telephone | 601-339-1509
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | ERICA J FOSTER
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Credential |
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Telephone | 601-339-1509
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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