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General NPI Number Information
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NPI Number | 1447706312
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Entity Type | Organization
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Legal Business Name | DARCY J HANSEN
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Dates
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Enumeration Date | 08/30/2016
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Last Update Date | 08/30/2016
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Provider Practice Location Address
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Address Line | 1145 19TH ST NW STE 210
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City | WASHINGTON
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State | DC
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Zip | 20036-3736
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Country | US
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Telephone | 202-223-6199
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Fax |
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Provider Business Mailing Address
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Address Line | 1145 19TH ST NW STE 210
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City | WASHINGTON
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State | DC
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Zip | 20036-3736
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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 | PHYSICIAN
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Name | DR. DARCY J HANSEN
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Credential |
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Telephone | 202-223-6199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN1023935
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License Number State | DC
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