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General NPI Number Information
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NPI Number | 1932451689
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Entity Type | Individual
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Provider Name | MICHELLE TOMASA ROPER M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/04/2012
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Last Update Date | 05/04/2023
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Provider Practice Location Address
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Address Line | 100 BREWSTER BLVD
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City | CAMP LEJEUNE
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State | NC
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Zip | 28547-2575
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Country | US
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Telephone | 281-797-2507
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Fax |
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Provider Business Mailing Address
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Address Line | 100 BREWSTER BLVD
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City | CAMP LEJEUNE
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State | NC
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Zip | 28547-2575
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Country | US
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Telephone | 281-797-2507
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 94934
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 286500000X
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Taxonomy Name | Military Hospital
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 0101254549
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License Number State | VA
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