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General NPI Number Information
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NPI Number | 1356125835
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Entity Type | Organization
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Legal Business Name | WEST VIRGINIA FOOT & ANKLE, PLLC
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Dates
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Enumeration Date | 08/24/2023
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Last Update Date | 08/28/2024
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Provider Practice Location Address
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Address Line | 1 KENTON DR STE 100
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City | CHARLESTON
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State | WV
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Zip | 25311-1256
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Country | US
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Telephone | 304-306-8990
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Fax | 877-471-5976
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Provider Business Mailing Address
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Address Line | 100 TRACY WAY
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City | CHARLESTON
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State | WV
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Zip | 25311-1257
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Country | US
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Telephone | 304-343-4583
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Fax | 304-343-9207
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Authorized Official
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Title or Position | MANAGING SHAREHOLDER
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Name | CARRIE PARRIS FRAME
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Credential | DPM
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Telephone | 304-306-8990
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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 |
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License Number State |
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