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General NPI Number Information
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NPI Number | 1174920201
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Entity Type | Organization
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Legal Business Name | HANSEN CHIROPRACTIC PS
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Dates
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Enumeration Date | 12/04/2014
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Last Update Date | 04/30/2015
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Provider Practice Location Address
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Address Line | 5201 EVERGREEN WAY SUITE A
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City | EVERETT
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State | WA
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Zip | 98203-3633
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Country | US
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Telephone | 425-257-1000
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Fax | 425-353-6787
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Provider Business Mailing Address
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Address Line | 2000 N STATE ST
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City | BELLINGHAM
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State | WA
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Zip | 98225-4218
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Country | US
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Telephone | 360-671-1710
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Fax | 360-671-1605
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Authorized Official
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Title or Position | OWNER
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Name | EDDIE HANSEN
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Credential | DC
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Telephone | 360-671-1710
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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