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General NPI Number Information
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NPI Number | 1922778588
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Entity Type | Individual
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Provider Name | KAELYN LLHEAN FOSTER MS
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Gender | Female
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Dates
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Enumeration Date | 09/15/2021
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 133 WINDY MEADOWS DR STE 101
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City | SCHERTZ
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State | TX
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Zip | 78154-1543
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Country | US
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Telephone | 210-672-2553
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Fax |
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Provider Business Mailing Address
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Address Line | 9314 RYDER DR
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City | SAN ANTONIO
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State | TX
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Zip | 78254-2000
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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 |
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-24-77783
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License Number State | TX
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