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General NPI Number Information
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NPI Number | 1205994951
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Entity Type | Individual
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Provider Name | BRENDA G HANSON NP
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Gender | Female
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 04/30/2021
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Provider Practice Location Address
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Address Line | 1830 BLAKE AVENUE SUITE 208
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City | GLENWOOD SPRINGS
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State | CO
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Zip | 81601-4261
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Country | US
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Telephone | 970-945-2238
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Fax | 970-928-8926
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Provider Business Mailing Address
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Address Line | 1906 BLAKE AVE ATTN GABRIELA RAND- MEDICAL STAFF OFFICE
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City | GLENWOOD SPRINGS
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State | CO
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Zip | 81601-4227
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Country | US
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Telephone | 970-384-7033
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Fax | 970-384-8173
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 116964
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | CNM4129
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APN.0996102-NP
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License Number State | CO
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