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General NPI Number Information
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NPI Number | 1013083823
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Entity Type | Organization
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Legal Business Name | CENTER FOR FOOT AND ANKLE CARE, P.C.
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Dates
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Enumeration Date | 11/27/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3747 MAIN ST
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City | WEIRTON
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State | WV
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Zip | 26062-5309
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Country | US
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Telephone | 304-797-0190
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Fax | 304-797-1187
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Provider Business Mailing Address
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Address Line | 3747 MAIN ST
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City | WEIRTON
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State | WV
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Zip | 26062-5309
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Country | US
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Telephone | 304-797-0190
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Fax | 304-797-1187
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JEFFREY B WILPS
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Credential | D.P.M.
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Telephone | 304-797-0190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 00238
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 213ES0000X
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Taxonomy Name | Sports Medicine Podiatrist
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License Number | 00238
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License Number State | WV
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Taxonomy #3
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 00238
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License Number State | WV
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Taxonomy #4
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Taxonomy Code | 213ER0200X
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Taxonomy Name | Radiology Podiatrist
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License Number | 00238
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License Number State | WV
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