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General NPI Number Information
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NPI Number | 1205705308
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Entity Type | Organization
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Legal Business Name | HANSON CHIROPRACTIC CLINIC LLC
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Dates
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Enumeration Date | 11/05/2025
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 215 OHIO AVE
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City | IOWA FALLS
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State | IA
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Zip | 50126-1731
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Country | US
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Telephone | 641-648-2255
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Fax | 641-648-5600
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Provider Business Mailing Address
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Address Line | 215 OHIO AVE
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City | IOWA FALLS
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State | IA
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Zip | 50126-1731
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Country | US
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Telephone | 641-648-2255
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Fax | 641-648-5600
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Authorized Official
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Title or Position | MEMBER MANAGER
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Name | MARK HANSON
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Credential | DC
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Telephone | 641-648-2255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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