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General NPI Number Information
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NPI Number | 1912101221
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Entity Type | Individual
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Provider Name | JOHN DONNALD FOSTER DOCTOR OF MINISTRY
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Gender | Male
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Dates
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Enumeration Date | 06/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER MEDICAL CENTER BOULEVARD
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City | WINSTON-SALEM
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State | NC
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Zip | 27157-1099
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Country | US
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Telephone | 336-716-4745
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Fax | 336-716-5075
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Provider Business Mailing Address
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Address Line | WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER MEDICAL CENTER BOULEVARD
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City | WINSTON-SALEM
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State | NC
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Zip | 27157-1099
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Country | US
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Telephone | 336-716-4745
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Fax | 336-716-5075
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 2159
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License Number State | NC
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