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General NPI Number Information
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NPI Number | 1316079569
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Entity Type | Organization
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Legal Business Name | WILMINGTON FOOT AND ANKLE CENTER INC.
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 03/06/2008
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Provider Practice Location Address
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Address Line | 702 E BASIN RD SUITE 3
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City | NEW CASTLE
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State | DE
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Zip | 19720-4263
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Country | US
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Telephone | 302-221-6880
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Fax | 302-221-6883
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Provider Business Mailing Address
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Address Line | 702 E BASIN RD SUITE 3
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City | NEW CASTLE
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State | DE
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Zip | 19720-4263
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Country | US
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Telephone | 302-221-6880
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Fax | 302-221-6883
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RODNEY TODD GROBES
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Credential | D.P.M.
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Telephone | 302-221-6880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 2001106842
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License Number State | DE
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