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General NPI Number Information
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NPI Number | 1619947140
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Entity Type | Organization
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Legal Business Name | ROPER ST FRANCIS ANCILLARY SERVICES
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Dates
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Enumeration Date | 01/26/2006
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Last Update Date | 12/09/2022
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Provider Practice Location Address
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Address Line | 8536 PALMETTO COMMERCE PKWY STE 207A
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City | LADSON
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State | SC
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Zip | 29456-6700
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Country | US
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Telephone | 843-402-7000
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Fax | 843-769-6205
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Provider Business Mailing Address
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Address Line | 8536 PALMETTO COMMERCE PKWY STE 207A
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City | LADSON
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State | SC
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Zip | 29456-6700
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Country | US
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Telephone | 843-402-7000
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Fax | 843-769-6205
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Authorized Official
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Title or Position | SYSTEM DIRECTOR
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Name | KIMBERLY M RALSTON
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Credential |
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Telephone | 419-996-5119
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HHA-062
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License Number State | SC
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