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General NPI Number Information
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NPI Number | 1447202619
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Entity Type | Organization
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Legal Business Name | HILTON HEAD RADIOLOGY ASSOCIATES
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 11/07/2007
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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 | 843-681-6122
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Fax |
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Provider Business Mailing Address
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Address Line | 2555 PONCE DE LEON BLVD #400
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City | CORAL GABLES
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State | FL
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Zip | 33134-6010
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Country | US
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Telephone | 305-702-5135
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DR. WESLEY REX HOLLAND
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Credential | MD
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Telephone | 843-815-6411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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