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1962213405 NPI number — ROPER SAINT FRANCIS PHYSICIANS NETWORK

NPI Number: 1962213405
Health Care Provider/Practitioner: ROPER SAINT FRANCIS PHYSICIANS NETWORK

Information about “1962213405” NPI (ROPER SAINT FRANCIS PHYSICIANS NETWORK) exists in 1962213405 in HTML format HTML  |  1962213405 in plain Text format TXT  |  1962213405 in PDF (Portable Document Format) PDF  |  1962213405 in an XML format XML  formats.

NPI Number : 1962213405 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1962213405",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ROPER SAINT FRANCIS PHYSICIANS NETWORK",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 751649",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHARLOTTE",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28275-1649",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "888-472-0043",
    "MailingAddressFaxNumber": "843-724-2440",
    "FirstLinePracticeLocationAddress": "3510 N HIGHWAY 17 STE 220",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MT PLEASANT",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29466-8245",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "843-606-7174",
    "PracticeLocationAddressFaxNumber": "843-606-8122",
    "EnumerationDate": "01/15/2025",
    "LastUpdateDate": "12/19/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "OLIVERIO",
    "AuthorizedOfficialFirstName": "ROBERT",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "VP",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "843-789-1665",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207RE0101X",
        "TaxonomyName": "Endocrinology, Diabetes & Metabolism Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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