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NPI Code Detail

MEDICARE: AMANDA CHRISTINE FOSTER

MEDICARE: AMANDA CHRISTINE FOSTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183700000XPharmacy Technician09200873OH

General Provider Information

NPI Number : 1326739442
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA CHRISTINE FOSTER
Provider Business Mailing Address
First Line : 1316 SPANGLER RD NE
Second Line :
City : CANTON
State : OH
Zip : 44714-1651
Country : US
Telephone Number : 330-415-4387
Fax Number :
Provider Business Practice Location Address
First Line : 4332 CLEVELAND AVE NW
Second Line :
City : CANTON
State : OH
Zip : 44709-2352
Country : US
Telephone Number : 330-649-9709
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2023
Last Update Date : 05/18/2023

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Directions to “ AMANDA CHRISTINE FOSTER ” Practice Location

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