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General NPI Number Information
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NPI Number | 1649256165
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Entity Type | Individual
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Provider Name | REGINA ONIC HILLSMAN MD
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Gender | Female
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Dates
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Enumeration Date | 12/16/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 2 POMPERAUG OFFICE PARK STE 308
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City | SOUTHBURY
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State | CT
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Zip | 06488-2293
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Country | US
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Telephone | 203-586-1181
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Fax |
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Provider Business Mailing Address
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Address Line | 1771 POST ROAD EAST
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City | WESTPORT
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State | CT
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Zip | 06880
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Country | US
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Telephone | 203-586-1181
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | 21015
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 21015
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License Number State | CT
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