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General NPI Number Information
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NPI Number | 1790714277
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Entity Type | Individual
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Provider Name | MICHAEL GEORGE DAVID D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 12/30/2021
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Provider Practice Location Address
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Address Line | 2144 EAST PARIS AVE SE STE 100
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City | GRAND RAPIDS
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State | MI
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Zip | 49546
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Country | US
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Telephone | 616-281-0666
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Fax | 616-281-0752
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Provider Business Mailing Address
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Address Line | 2144 E. PARIS AVE. SE STE 100
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City | GRAND RAPIDS
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State | MI
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Zip | 49546
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Country | US
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Telephone | 616-281-0666
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Fax | 616-281-0752
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 5901001218
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License Number State | MI
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