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NPI 1427139625

NPI 1427139625 : JEFFREY S HANSEN D.C : YORBA LINDA, CA

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General NPI Number Information
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    NPI Number           |    1427139625
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    Entity Type          |    Individual 
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    Provider Name        |    JEFFREY S HANSEN D.C
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/17/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    18510 YORBA LINDA BLVD 
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    City                 |    YORBA LINDA
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    State                |    CA
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    Zip                  |    92886-4179
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    Country              |    US
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    Telephone            |    714-779-1605
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    Fax                  |    714-779-6205
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Provider Business Mailing Address
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    Address Line         |    3866 RAVENSWOOD DR 
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    City                 |    YORBA LINDA
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    State                |    CA
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    Zip                  |    92886-6901
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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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        |    111NN1001X
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    Taxonomy Name        |    Nutrition Chiropractor
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    License Number       |    DC18439
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    111NR0200X
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    Taxonomy Name        |    Radiology Chiropractor
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    License Number       |    DC18439
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    License Number State |    CA
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Taxonomy #3
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    Taxonomy Code        |    111NS0005X
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    Taxonomy Name        |    Sports Physician Chiropractor
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    License Number       |    DC18439
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    License Number State |    CA
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