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General NPI Number Information
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NPI Number | 1528958717
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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 | 07/08/2025
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 4975 LACROSS RD STE 110
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City | NORTH CHARLESTON
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State | SC
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Zip | 29406-6531
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Country | US
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Telephone | 843-266-3561
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Fax | 843-266-3568
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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 | CEO
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Name | ROBERT OLIVERIO
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Credential | MD
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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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