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General NPI Number Information
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NPI Number | 1699715011
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Entity Type | Individual
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Provider Name | CHARLES H HILES JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/07/2006
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Last Update Date | 04/02/2021
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Provider Practice Location Address
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Address Line | 240 S MAIN ST STE J INTERNAL MEDICINE ASSOCIATES OF WOLFEBORO
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City | WOLFEBORO
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State | NH
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Zip | 03894-4411
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Country | US
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Telephone | 603-569-7588
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Fax | 603-569-7589
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Provider Business Mailing Address
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Address Line | 240 S MAIN ST
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City | WOLFEBORO
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State | NH
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Zip | 03894-4411
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Country | US
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Telephone | 603-569-7588
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Fax | 603-569-7589
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 22885
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 16224
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License Number State | NH
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