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General NPI Number Information
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NPI Number | 1154608313
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Entity Type | Individual
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Provider Name | RONALD WAYNE HANSEN RPH
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Gender | Male
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Dates
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Enumeration Date | 11/15/2011
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Last Update Date | 11/15/2011
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Provider Practice Location Address
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Address Line | 10808 W JEWELL AVE
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City | LAKEWOOD
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State | CO
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Zip | 80232-6266
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Country | US
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Telephone | 303-914-1088
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Fax | 303-914-1106
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Provider Business Mailing Address
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Address Line | 2519 S NEWCOMBE ST
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City | LAKEWOOD
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State | CO
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Zip | 80227-2762
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Country | US
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Telephone | 303-523-1605
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Fax | 303-989-4454
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 13947
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | S014047
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License Number State | AZ
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