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General NPI Number Information
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NPI Number | 1902136062
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Entity Type | Individual
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Provider Name | LEIGH ANN FOSTER LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/12/2010
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Last Update Date | 01/16/2014
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Provider Practice Location Address
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Address Line | 3360 HIGHWAY 411 NORTH
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City | ENGLEWOOD
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State | TN
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Zip | 37329
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Country | US
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Telephone | 423-887-5131
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Fax | 423-887-5917
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Provider Business Mailing Address
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Address Line | 6350 W ANDREW JOHNSON HWY DEPARTMENT 100
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City | TALBOTT
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State | TN
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Zip | 37877-8605
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Country | US
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Telephone | 800-355-3565
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Fax | 423-714-2355
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LMSW8655
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 5853 (LCSW)
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License Number State | TN
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