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General NPI Number Information
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NPI Number | 1316922933
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Entity Type | Individual
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Provider Name | JOHN T. HANSBARGER M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/07/2005
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 226 MARKET ST
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City | NEW CASTLE
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State | VA
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Zip | 24127-6080
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Country | US
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Telephone | 304-772-3064
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Fax | 304-772-3296
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Provider Business Mailing Address
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Address Line | PO BOX 590
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City | UNION
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State | WV
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Zip | 24983-0590
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Country | US
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Telephone | 304-772-3064
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Fax | 304-772-3296
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20610
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License Number State | WV
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