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General NPI Number Information
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NPI Number | 1871863597
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Entity Type | Individual
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Provider Name | SANDRIA JOAN FOSTER APRN
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Gender | Female
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Dates
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Enumeration Date | 01/11/2012
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Last Update Date | 06/26/2021
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Provider Practice Location Address
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Address Line | 3343 ATMORE TER
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City | OCOEE
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State | FL
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Zip | 34761-4442
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Country | US
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Telephone | 407-205-5510
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Fax | 407-703-4451
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Provider Business Mailing Address
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Address Line | 1746 E SILVER STAR RD SUITE 243
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City | OCOEE
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State | FL
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Zip | 34761-7014
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Country | US
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Telephone | 407-802-6766
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Fax | 407-362-1761
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 11001462
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1136932
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 163WG0600X
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Taxonomy Name | Gerontology Registered Nurse
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License Number | 1136932
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License Number State | FL
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