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General NPI Number Information
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NPI Number | 1053248195
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Entity Type | Organization
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Legal Business Name | ROPER SAINT FRANCIS PHYSICIANS NETWORK
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Dates
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Enumeration Date | 05/05/2026
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Last Update Date | 05/05/2026
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Provider Practice Location Address
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Address Line | 124 N CREEK DR UNIT C
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City | SUMMERVILLE
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State | SC
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Zip | 29486-5465
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Country | US
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Telephone | 854-206-8590
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Fax | 854-206-8591
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Provider Business Mailing Address
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Address Line | PO BOX 632516
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City | CINCINNATI
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State | OH
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Zip | 45263-2516
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Country | US
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Telephone | 888-472-0043
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Fax | 513-653-4122
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Authorized Official
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Title or Position | VP
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Name | ROBERT RALPH OLIVERIO JR.
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Credential |
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Telephone | 843-789-1665
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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