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General NPI Number Information
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NPI Number | 1285340711
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Entity Type | Individual
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Provider Name | CHRISTINA LYNN HANSEN RDHAP
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Gender | Female
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Dates
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Enumeration Date | 01/27/2023
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Last Update Date | 01/27/2023
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Provider Practice Location Address
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Address Line | 201 OLD STEESE HWY STE 3
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City | FAIRBANKS
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State | AK
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Zip | 99701-3160
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Country | US
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Telephone | 907-251-1590
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Fax |
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Provider Business Mailing Address
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Address Line | 1111 SHANNON DR
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City | FAIRBANKS
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State | AK
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Zip | 99701-3811
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Country | US
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Telephone | 907-987-5854
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | DENH2248
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License Number State | AK
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