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General NPI Number Information
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NPI Number | 1255789509
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Entity Type | Individual
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Provider Name | CONNIE HSIA MD
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Gender | Female
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Dates
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Enumeration Date | 05/26/2016
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | MONCRIEF ARMY HEALTH CLINIC 4500 8TH DIVISION ROAD
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City | COLUMBIA
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State | SC
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Zip | 29207-5700
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Country | US
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Telephone | 803-751-2502
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Fax |
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Provider Business Mailing Address
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Address Line | 820 OLD WOODLANDS RD
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City | COLUMBIA
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State | SC
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Zip | 29209-1950
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Country | US
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Telephone | 908-285-8361
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 30315
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | 30315
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License Number State | NE
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