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General NPI Number Information
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NPI Number | 1225084049
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Entity Type | Individual
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Provider Name | JOHN H FOOTE MD
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Gender | Male
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 02/17/2014
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Provider Practice Location Address
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Address Line | 970 WOODSTOCK PARKWAY SUITE 100
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City | WOODSTOCK
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State | GA
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Zip | 30188
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Country | US
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Telephone | 678-388-5750
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Fax | 678-388-5785
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Provider Business Mailing Address
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Address Line | 970 WOODSTOCK PKWY SUITE 100
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City | WOODSTOCK
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State | GA
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Zip | 30188-4868
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Country | US
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Telephone | 678-388-5750
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Fax | 678-388-5785
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 049381
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License Number State | GA
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