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General NPI Number Information
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NPI Number | 1326047176
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Entity Type | Organization
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Legal Business Name | HILTON HEAD EMERGENCY PHYSICIANS, LLC
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Dates
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Enumeration Date | 07/14/2005
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Last Update Date | 05/26/2023
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Provider Practice Location Address
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Address Line | 25 HOSPITAL CENTER BLVD
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City | HILTON HEAD ISLAND
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State | SC
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Zip | 29926-2738
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Country | US
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Telephone | 843-689-8281
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Fax | 843-681-6122
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Provider Business Mailing Address
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Address Line | 1643 NW 136TH AVE STE 100
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City | SUNRISE
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State | FL
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Zip | 33323-2857
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Country | US
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Telephone | 800-424-3672
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Fax | 954-377-3042
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID JOSEPH ISTVAN
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Credential | MD
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Telephone | 917-679-1675
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 1428725
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License Number State | SC
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