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General NPI Number Information
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NPI Number | 1396252870
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Entity Type | Individual
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Provider Name | MARK A ROPER PHARMD, MBA, MS
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Gender | Male
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Dates
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Enumeration Date | 01/05/2018
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Last Update Date | 01/05/2018
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Provider Practice Location Address
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Address Line | 1126 E LYNCHBURG SALEM TPKE
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City | BEDFORD
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State | VA
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Zip | 24523-3446
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Country | US
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Telephone | 540-586-6012
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Fax |
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Provider Business Mailing Address
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Address Line | 18 LAWTON CIR
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City | LYNCHBURG
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State | VA
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Zip | 24501-7755
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Country | US
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Telephone | 954-275-1282
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 43249
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 6323074
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202207652
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License Number State | VA
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