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General NPI Number Information
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NPI Number | 1508322959
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Entity Type | Organization
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Legal Business Name | ROPER HOSPITAL, INC
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Dates
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Enumeration Date | 02/11/2019
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Last Update Date | 03/03/2024
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Provider Practice Location Address
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Address Line | 316 CALHOUN ST STE 300
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City | CHARLESTON
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State | SC
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Zip | 29401-1113
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Country | US
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Telephone | 843-720-8448
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Fax | 843-724-2852
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Provider Business Mailing Address
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Address Line | PO BOX 751649
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City | CHARLOTTE
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State | NC
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Zip | 28275-1649
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Country | US
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Telephone | 888-472-0043
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Fax | 843-724-2454
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Authorized Official
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Title or Position | VP OPS-ACUTE CARE
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Name | MATTHEW HALE DESMOND
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Credential |
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Telephone | 843-724-2103
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology 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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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