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NPI Code Detail

MEDICARE: DENA L HANCOCK CNIM

MEDICARE: DENA L HANCOCK CNIM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1246ZE0600XElectroneurodiagnostic Specialist/Technologist39AZ

General Provider Information

NPI Number : 1851010920
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENA L HANCOCK CNIM
Provider Business Mailing Address
First Line : 1875 W SMOKETREE ST
Second Line :
City : APACHE JUNCTION
State : AZ
Zip : 85120-1806
Country : US
Telephone Number : 480-375-5905
Fax Number :
Provider Business Practice Location Address
First Line : 8655 E VIA DE VENTURA STE E160
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85258-3395
Country : US
Telephone Number : 484-351-8459
Fax Number : 484-351-8810
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2022
Last Update Date : 08/23/2022

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