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General NPI Number Information
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NPI Number | 1396755518
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Entity Type | Organization
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Legal Business Name | BRAD L. HILAMAN MD PA
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 823 N ATLANTIC AVE
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City | SOUTHPORT
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State | NC
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Zip | 28461
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Country | US
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Telephone | 910-457-9292
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Fax | 910-457-5269
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Provider Business Mailing Address
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Address Line | 823 N ATLANTIC AVE
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City | SOUTHPORT
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State | NC
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Zip | 28461
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Country | US
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Telephone | 910-457-9292
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Fax | 910-457-5269
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRAD L. HILAMAN
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Credential | M.D.
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Telephone | 910-457-9292
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 95-00936
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License Number State | NC
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