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General NPI Number Information
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NPI Number | 1760057764
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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 | 05/21/2021
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 4278 LADSON RD
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City | LADSON
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State | SC
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Zip | 29456-5452
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Country | US
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Telephone | 844-975-6683
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Fax | 843-402-1099
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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 | 888-472-0043
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Fax | 843-724-2440
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | ROBERT OLIVERIO JR.
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Credential | MD
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Telephone | 843-789-1665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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