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General NPI Number Information
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NPI Number | 1922219880
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Entity Type | Organization
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Legal Business Name | KEVIN R. HILTON, M.D., INC.
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 04/06/2011
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Provider Practice Location Address
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Address Line | 576 N SUNRISE AVE STE 230A
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City | ROSEVILLE
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State | CA
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Zip | 95661-2847
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Country | US
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Telephone | 916-781-9101
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Fax | 916-781-9102
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Provider Business Mailing Address
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Address Line | 1420 E ROSEVILLE PKWY STE 140355
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City | ROSEVILLE
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State | CA
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Zip | 95661-3078
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Country | US
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Telephone | 916-781-9101
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Fax | 916-781-9102
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Authorized Official
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Title or Position | SURGEON
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Name | DR. KEVIN RICHARD HILTON
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Credential | M.D.
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Telephone | 916-781-9101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | G079838
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License Number State | CA
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