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NPI 1306717111

NPI 1306717111 : ROBERT N HANSON DDS PC : INDEPENDENCE, MO

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General NPI Number Information
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    NPI Number           |    1306717111
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    Entity Type          |    Organization 
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    Legal Business Name  |    ROBERT N HANSON DDS PC 
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Dates
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    Enumeration Date     |    09/15/2025
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    Last Update Date     |    09/15/2025
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Provider Practice Location Address
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    Address Line         |    3151 S STATE ROUTE 291 SUITE A
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    City                 |    INDEPENDENCE
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    State                |    MO
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    Zip                  |    64057
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    Country              |    US
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    Telephone            |    816-373-5606
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    Fax                  |    816-373-7042
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Provider Business Mailing Address
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    Address Line         |    3151 S STATE ROUTE 291 SUITE A
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    City                 |    INDEPENDENCE
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    State                |    MO
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    Zip                  |    64057
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    Country              |    US
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    Telephone            |    816-373-5606
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    Fax                  |    816-373-7042
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Authorized Official
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    Title or Position    |    PRESIDENT/DENTIST
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    Name                 |     STEVEN WAYNE BLUM 
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    Credential           |    DDS
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    Telephone            |    816-373-5606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    
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    License Number State |    
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