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General NPI Number Information
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NPI Number | 1275177974
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Entity Type | Individual
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Provider Name | NATHANIEL SCOTT HANSEN DDS, MS
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Gender | Male
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Dates
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Enumeration Date | 11/05/2019
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 7340 CIMARRON MARKET AVE BUILDING B
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City | EL PASO
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State | TX
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Zip | 79912
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Country | US
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Telephone | 915-201-0881
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Fax |
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Provider Business Mailing Address
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Address Line | 6034 CAMINO PINON PL
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City | EL PASO
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State | TX
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Zip | 79932
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Country | US
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Telephone | 316-573-6686
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Fax |
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 40193
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License Number State | TX
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