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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Multi-Specialty |
261QM1300X | 70 | Clinic or Group Practice |
| NPI # | 1073375895 |
| LBN Legal business name | FOUNDATIONS, INC. |
| Authorized official | ANGELA SCHULZ - (CFO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 01/26/2024 |
| Last updated | 01/26/2024 - About 2 years ago |
| Identifiers | n/a |
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FOUNDATIONS, INC.
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FOUNDATIONS, INC.