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General NPI Number Information
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NPI Number | 1629381843
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Entity Type | Organization
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Legal Business Name | GERALD J ROPER MD LLC
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Dates
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Enumeration Date | 07/16/2010
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Last Update Date | 07/16/2010
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Provider Practice Location Address
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Address Line | 1049 STATE ROAD 229
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City | BATESVILLE
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State | IN
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Zip | 47006-6808
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Country | US
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Telephone | 812-934-9400
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Fax | 812-933-0913
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Provider Business Mailing Address
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Address Line | 1049 STATE ROAD 229
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City | BATESVILLE
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State | IN
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Zip | 47006-6808
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Country | US
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Telephone | 812-934-9400
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Fax | 812-933-0913
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Authorized Official
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Title or Position | OWNER
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Name | DR. GERALD JAMES ROPER
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Credential | MD
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Telephone | 812-934-9400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 0104380
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License Number State | IN
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