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General NPI Number Information
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NPI Number | 1891033171
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Entity Type | Organization
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Legal Business Name | HILTON'S
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Dates
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Enumeration Date | 01/22/2013
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Last Update Date | 01/22/2013
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Provider Practice Location Address
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Address Line | 135 HAWKEYE DR 7B
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City | RED SPRINGS
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State | NC
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Zip | 28377-8882
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Country | US
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Telephone | 910-875-8867
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Fax | 910-875-8867
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Provider Business Mailing Address
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Address Line | 135 HAWKEYE DR 7B
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City | RED SPRINGS
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State | NC
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Zip | 28377-8882
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Country | US
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Telephone | 910-875-8867
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Fax | 910-875-8867
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Authorized Official
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Title or Position | OWNER
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Name | MR. HARSHAD MALKAN HILTON
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Credential | MBA
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Telephone | 910-875-8867
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 26478665
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 332100000X
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Taxonomy Name | Department of Veterans Affairs (VA) Pharmacy
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License Number | MAL1325487
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License Number State | TX
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