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General NPI Number Information
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NPI Number | 1275352387
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Entity Type | Organization
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Legal Business Name | HANSON ORTHODONTICS ALLEN, PLLC
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Dates
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Enumeration Date | 10/07/2024
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 430 N ALLEN DR
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City | ALLEN
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State | TX
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Zip | 75013-2545
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Country | US
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Telephone | 972-727-1153
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Fax |
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Provider Business Mailing Address
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Address Line | 1450 PEBBLE WAY
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City | ALLEN
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State | TX
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Zip | 75013-5119
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Country | US
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Telephone | 832-746-7862
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Fax |
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Authorized Official
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Title or Position | MANAGER/MEMBER
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Name | DR. MEGAN SHORT HANSON
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Credential | DDS, MSD
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Telephone | 832-746-7862
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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 |
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License Number State |
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