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General NPI Number Information
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NPI Number | 1629940200
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Entity Type | Organization
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Legal Business Name | HILTON HEAD REGIONAL PHYSICIAN GROUP LLC
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 25 HOSPITAL CENTER BLVD STE 306
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City | HILTON HEAD
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State | SC
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Zip | 29926-2739
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Country | US
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Telephone | 843-682-7480
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Fax | 843-681-9169
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Provider Business Mailing Address
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Address Line | PO BOX 37643
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City | BELFAST
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State | ME
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Zip | 04915-1218
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Country | US
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Telephone | 843-682-7480
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Fax |
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Authorized Official
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Title or Position | ENROLLMENT COORDINATOR
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Name | ABIGAIL KIRKLAND
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Credential |
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Telephone | 469-893-2695
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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