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General NPI Number Information
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NPI Number | 1235226234
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Entity Type | Individual
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Provider Name | GINGER L. HANSEN D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1235 W VISTA WAY STE F
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City | VISTA
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State | CA
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Zip | 92083-6234
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Country | US
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Telephone | 760-940-0366
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Fax | 760-940-2029
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Provider Business Mailing Address
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Address Line | 1235 W VISTA WAY STE F
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City | VISTA
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State | CA
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Zip | 92083-6234
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Country | US
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Telephone | 760-940-0366
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Fax | 760-940-2029
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 27999
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2796
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 5549
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | D6028
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License Number State | OR
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