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General NPI Number Information
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NPI Number | 1366054561
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Entity Type | Organization
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Legal Business Name | SHAWN HANSON DC, PA
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Dates
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Enumeration Date | 08/19/2020
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Last Update Date | 08/19/2020
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Provider Practice Location Address
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Address Line | 1883 S PINELLAS AVE
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City | TARPON SPRINGS
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State | FL
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Zip | 34689-1944
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Country | US
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Telephone | 727-937-6740
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Fax | 727-942-3701
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Provider Business Mailing Address
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Address Line | 1883 S PINELLAS AVE
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City | TARPON SPRINGS
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State | FL
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Zip | 34689-1944
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Country | US
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Telephone | 727-937-6740
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Fax | 727-942-3701
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Authorized Official
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Title or Position | OWNER
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Name | SHAWN HANSON
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Credential | DC
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Telephone | 386-212-1902
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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