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General NPI Number Information
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NPI Number | 1073770541
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Entity Type | Organization
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Legal Business Name | DR. NICHOLAS E. MIHELIC, P.A.
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Dates
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Enumeration Date | 05/21/2008
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Last Update Date | 05/21/2008
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Provider Practice Location Address
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Address Line | 35 BILL FRIES DR BUILDING A ISLAND MEDICAL PLAZA
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City | HILTON HEAD ISLAND
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State | SC
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Zip | 29926-2730
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Country | US
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Telephone | 843-342-5210
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Fax | 843-342-5201
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Provider Business Mailing Address
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Address Line | 35 BILL FRIES DR BUILDING A ISLAND MEDICAL PLAZA
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City | HILTON HEAD ISLAND
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State | SC
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Zip | 29926-2730
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Country | US
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Telephone | 843-342-5210
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Fax | 843-342-5201
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Authorized Official
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Title or Position | ORTHOPAEDIC SURGEON
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Name | DR. NICHOLAS EDWARD MIHELIC
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Credential | M.D.
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Telephone | 843-342-5210
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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 | SC16328
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License Number State | SC
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