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General NPI Number Information
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NPI Number | 1295700441
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Entity Type | Organization
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Legal Business Name | DR R HILLSMAN MD PC
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Dates
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Enumeration Date | 02/21/2006
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Last Update Date | 12/25/2023
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Provider Practice Location Address
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Address Line | 2 POMPERAUG OFFICE PARK STE 308
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City | SOUTHBURY
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State | CT
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Zip | 06488-2293
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Country | US
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Telephone | 203-586-1181
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Fax |
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Provider Business Mailing Address
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Address Line | 1771 POST RD E
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City | WESTPORT
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State | CT
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Zip | 06880-5606
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Country | US
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Telephone | 203-803-0238
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. REGINA ONIE HILLSMAN
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Credential | MD
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Telephone | 203-729-6335
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number | 021015
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 021015
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 021015
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License Number State | CT
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