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General NPI Number Information
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NPI Number | 1275633414
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Entity Type | Organization
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Legal Business Name | FAMILY MEDICINE OF HILTON HEAD
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 03/07/2008
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Provider Practice Location Address
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Address Line | 843 WILLIAM HILTON PKWY
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City | HILTON HEAD
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State | SC
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Zip | 29928-3404
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Country | US
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Telephone | 843-842-3331
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Fax | 843-686-2035
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Provider Business Mailing Address
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Address Line | 843 WILLIAM HILTON PKWY
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City | HILTON HEAD
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State | SC
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Zip | 29928-3404
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Country | US
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Telephone | 843-842-3331
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Fax | 843-686-2035
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Authorized Official
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Title or Position | OWNER
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Name | DR. KENT BOYD ENGLAND
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Credential | M.D.
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Telephone | 843-842-3331
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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 | 12089
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License Number State | SC
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