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General NPI Number Information
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NPI Number | 1720070642
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Entity Type | Individual
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Provider Name | GERALD JAMES ROPER MD
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Gender | Male
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Dates
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Enumeration Date | 08/17/2005
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Last Update Date | 12/27/2019
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Provider Practice Location Address
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Address Line | 1049 STATE ROAD 229 N
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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 | 812-209-9050
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 01043840
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License Number State | IN
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