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General NPI Number Information
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NPI Number | 1316914492
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Entity Type | Individual
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Provider Name | KAREN E HANSEN MD
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Gender | Female
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Dates
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Enumeration Date | 03/07/2006
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Last Update Date | 10/19/2022
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Provider Practice Location Address
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Address Line | 2500 E CAPITOL DR
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City | APPLETON
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State | WI
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Zip | 54911-8735
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Country | US
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Telephone | 920-729-2933
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Fax |
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Provider Business Mailing Address
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Address Line | 9813 SHADOW WOOD DR
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City | VERONA
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State | WI
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Zip | 53593-7941
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Country | US
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Telephone |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35580
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 35580
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 35580
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License Number State | WI
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