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General NPI Number Information
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NPI Number | 1740802297
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Entity Type | Organization
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Legal Business Name | ROPER HOSPITAL, INC
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Dates
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Enumeration Date | 05/07/2020
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 3500 N HIGHWAY 17
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City | MT PLEASANT
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State | SC
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Zip | 29466-9123
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Country | US
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Telephone | 843-724-2289
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Fax | 843-606-8038
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Provider Business Mailing Address
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Address Line | PO BOX 751649
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City | CHARLOTTE
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State | NC
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Zip | 28275-1649
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Country | US
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Telephone | 843-789-1620
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Fax | 843-724-2454
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Authorized Official
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Title or Position | CEO
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Name | WILLIAM JACKSON
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Credential |
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Telephone | 843-724-2952
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083P0011X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
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License Number |
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License Number State |
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