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General NPI Number Information
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NPI Number | 1427072156
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Entity Type | Individual
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Provider Name | SHANA L HANSEN M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 2105 SIDNEY BAKER ST STE 200
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City | KERRVILLE
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State | TX
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Zip | 78028-2563
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Country | US
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Telephone | 210-899-6730
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Fax | 833-776-0625
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Provider Business Mailing Address
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Address Line | 2105 SIDNEY BAKER ST STE 200
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City | KERRVILLE
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State | TX
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Zip | 78028-2563
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Country | US
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Telephone | 210-899-6730
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Fax | 833-776-0625
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 0101245746
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2080S0012X
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Taxonomy Name | Pediatric Sleep Medicine Physician
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License Number | T1957
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | T1957
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | T1957
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License Number State | TX
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