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General NPI Number Information
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NPI Number | 1275718447
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Entity Type | Organization
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Legal Business Name | M H HANSEN DPM PLC
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Dates
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Enumeration Date | 01/07/2008
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 1880 W FRYE RD SUITE 3
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City | CHANDLER
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State | AZ
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Zip | 85224-6234
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Country | US
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Telephone | 480-889-2905
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Fax | 480-889-2906
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Provider Business Mailing Address
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Address Line | 1880 W FRYE RD SUITE 3
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City | CHANDLER
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State | AZ
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Zip | 85224-6234
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Country | US
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Telephone | 480-889-2905
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Fax | 480-889-2906
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Authorized Official
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Title or Position | PRESIDENT
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Name | MYRON H HANSEN
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Credential |
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Telephone | 480-889-2905
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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