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General NPI Number Information
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NPI Number | 1235943986
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Entity Type | Organization
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Legal Business Name | HILTON HEAD REGIONAL PHYSICIAN GROUP LLC
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Dates
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Enumeration Date | 02/04/2025
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 11-D ROBERT SMALLS PKWY
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City | BEAUFORT
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State | SC
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Zip | 29906-4200
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Country | US
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Telephone | 843-706-2255
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Fax | 843-706-2257
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Provider Business Mailing Address
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Address Line | PO BOX 37643
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City | BELFAST
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State | ME
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Zip | 04915-1218
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ENROLLMENT COORDINATOR
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Name | ABIGAIL KIRKLAND
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Credential |
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Telephone | 409-808-3023
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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