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General NPI Number Information
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NPI Number | 1477581916
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Entity Type | Individual
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Provider Name | PHILIP A. ROPER MD
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Gender | Male
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 12/18/2007
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Provider Practice Location Address
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Address Line | 601 W SPRUCE ST STE A
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City | MISSOULA
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State | MT
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Zip | 59802-4047
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Country | US
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Telephone | 406-329-2945
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Fax | 406-329-2938
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Provider Business Mailing Address
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Address Line | PO BOX 7706
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City | MISSOULA
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State | MT
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Zip | 59807-7706
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Country | US
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Telephone | 406-329-2945
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Fax | 406-329-2938
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 9709
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License Number State | MT
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