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General NPI Number Information
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NPI Number | 1306036421
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Entity Type | Individual
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Provider Name | ANDERS SVEN HANSSON O.D.
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Gender | Male
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Dates
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Enumeration Date | 07/25/2007
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Last Update Date | 06/18/2014
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Provider Practice Location Address
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Address Line | 1432 PARK ST
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City | ALAMEDA
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State | CA
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Zip | 94501-4510
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Country | US
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Telephone | 510-769-2020
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Fax | 510-769-7912
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Provider Business Mailing Address
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Address Line | 1432 PARK ST
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City | ALAMEDA
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State | CA
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Zip | 94501-4510
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Country | US
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Telephone | 510-769-2020
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Fax | 510-769-7912
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 5720
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 13657
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0618001899
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License Number State | VA
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