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General NPI Number Information
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NPI Number | 1528177193
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Entity Type | Individual
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Provider Name | MICHAEL MARTIN FOOTE MD
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Gender | Male
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 04/28/2023
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Provider Practice Location Address
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Address Line | 3 HONEOYE COMMONS
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City | HONEOYE
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State | NY
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Zip | 14471
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Country | US
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Telephone | 585-229-2215
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Fax | 585-229-2210
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Provider Business Mailing Address
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Address Line | 6576 WOODLAND TRL
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City | CANANDAIGUA
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State | NY
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Zip | 14424-9372
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 198718
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License Number State | NY
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