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General NPI Number Information
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NPI Number | 1194700575
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Entity Type | Individual
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Provider Name | KEVAN RICHARD HANSEL MD
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Gender | Male
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Dates
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Enumeration Date | 12/08/2005
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Last Update Date | 04/01/2021
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Provider Practice Location Address
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Address Line | 1824 PISGAH DR
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City | HENDERSONVILLE
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State | NC
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Zip | 28791-3759
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Country | US
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Telephone | 828-694-8427
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Fax | 828-694-8424
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Provider Business Mailing Address
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Address Line | PO BOX 360
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City | SYLVA
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State | NC
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Zip | 28779-0360
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Country | US
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Telephone | 828-693-3344
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Fax | 828-692-2487
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0301121
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License Number State | NC
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