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General NPI Number Information
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NPI Number | 1467884130
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Entity Type | Organization
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Legal Business Name | HILTON HEAD PLASTIC SURGERY, LLC
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Dates
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Enumeration Date | 08/05/2013
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Last Update Date | 08/05/2013
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Provider Practice Location Address
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Address Line | 35 BILL FRIES DR BLDG. E
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City | HILTON HEAD
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State | SC
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Zip | 29926-2730
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Country | US
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Telephone | 843-681-4088
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Fax | 843-689-3742
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Provider Business Mailing Address
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Address Line | 35 BILL FRIES DR BLDG. E
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City | HILTON HEAD
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State | SC
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Zip | 29926-2730
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Country | US
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Telephone | 843-681-4088
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Fax | 843-689-3742
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID SETTLE REID IV
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Credential | M.D.
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Telephone | 843-681-4088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 36150
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License Number State | SC
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