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General NPI Number Information
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NPI Number | 1396278917
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Entity Type | Individual
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Provider Name | EMILY NICOLE HANSEN D.O.
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Gender | Female
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Dates
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Enumeration Date | 04/10/2017
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 3901 RAINBOW BLVD
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City | KANSAS CITY
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State | KS
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Zip | 66160-1167
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Country | US
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Telephone | 913-588-3807
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Fax | 913-588-0593
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Provider Business Mailing Address
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Address Line | 3901 RAINBOW BLVD MAIL STOP 1020
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City | KANSAS CITY
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State | KS
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Zip | 66160
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Country | US
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Telephone | 913-588-0348
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Fax | 913-588-0593
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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 | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | 2020022445
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | 05-44760
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License Number State | KS
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