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General NPI Number Information
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NPI Number | 1023251915
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Entity Type | Individual
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Provider Name | TONIA C HANSON PA-C
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Gender | Female
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Dates
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Enumeration Date | 04/08/2009
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Last Update Date | 10/19/2018
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Provider Practice Location Address
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Address Line | 1425 N RANDALL RD SUITE 404
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City | ELGIN
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State | IL
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Zip | 60123
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Country | US
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Telephone | 224-783-8129
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Fax | 224-783-2852
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Provider Business Mailing Address
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Address Line | 1160 SILVER LAKE RD
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City | CARY
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State | IL
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Zip | 60013-1658
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Country | US
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Telephone | 847-462-3120
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Fax | 847-669-7590
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 085-003573
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA20299
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License Number State | CA
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