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General NPI Number Information
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NPI Number | 1649414285
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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 | 04/27/2009
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 4450 LEEDS PLACE WEST SUITE A
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City | NORTH CHARLESTON
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State | SC
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Zip | 29405
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Country | US
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Telephone | 843-763-2611
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Fax | 843-852-4099
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Provider Business Mailing Address
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Address Line | PO BOX 603379
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City | CHARLOTTE
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State | NC
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Zip | 28260-3379
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Country | US
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Telephone | 888-258-9186
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Fax | 843-269-2186
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Authorized Official
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Title or Position | VP/CEO RSFPP
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Name | DR. ROBERT R. OLIVERIO
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Credential |
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Telephone | 843-724-2903
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 42D0250660
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License Number State | SC
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