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General NPI Number Information
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NPI Number | 1407846926
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Entity Type | Individual
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Provider Name | TIMOTHY SCOTT HANSON MD
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Gender | Male
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Dates
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Enumeration Date | 10/26/2005
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Last Update Date | 07/26/2024
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Provider Practice Location Address
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Address Line | HOPE CLINIC 101 SOONER RD
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City | BARTLESVILLE
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State | OK
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Zip | 74003
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Country | US
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Telephone | 918-440-7692
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Fax |
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Provider Business Mailing Address
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Address Line | 204 BEECHER LANE
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City | BARTLESVILLE
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State | OK
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Zip | 74006
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Country | US
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Telephone | 918-914-4143
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Fax | 505-923-5354
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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 | MD2013-0459
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 102
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 36684
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License Number State | WI
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