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General NPI Number Information
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NPI Number | 1679120828
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Entity Type | Organization
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Legal Business Name | ROPER ST FRANCIS HOSPITAL-BERKELEY INC.
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Dates
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Enumeration Date | 08/22/2019
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 100 CALLEN BLVD
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City | SUMMERVILLE
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State | SC
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Zip | 29486-2807
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Country | US
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Telephone | 854-529-3165
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Fax | 854-529-3057
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Provider Business Mailing Address
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Address Line | PO BOX 603957
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City | CHARLOTTE
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State | NC
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Zip | 28260-3957
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Country | US
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Telephone | 843-789-1726
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Fax | 843-402-5289
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Authorized Official
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Title or Position | VP
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Name | BRET D JOHNSON
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Credential |
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Telephone | 843-724-2946
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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