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General NPI Number Information
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NPI Number | 1972771640
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Entity Type | Individual
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Provider Name | DIANE LYNN FOSTER LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/15/2008
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Last Update Date | 06/07/2022
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Provider Practice Location Address
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Address Line | 1111 E TAHQUITZ CANYON WAY STE 121
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City | PALM SPRINGS
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State | CA
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Zip | 92262-0102
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Country | US
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Telephone | 707-761-7083
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1180
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City | DESERT HOT SPRINGS
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State | CA
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Zip | 92240-0928
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Country | US
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Telephone | 707-761-7083
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 24430
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License Number State | CA
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