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General NPI Number Information
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NPI Number | 1457800393
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Entity Type | Organization
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Legal Business Name | MEDICAL LEGAL PARTNERS, INC
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Dates
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Enumeration Date | 10/03/2016
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Last Update Date | 10/03/2016
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Provider Practice Location Address
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Address Line | 411 COUNTY ROAD UU UNIT 3
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City | HUDSON
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State | WI
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Zip | 54016-6602
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Country | US
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Telephone | 612-670-4971
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 251505
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City | WOODBURY
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State | MN
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Zip | 55125-6505
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Country | US
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Telephone | 612-670-4971
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. ROBERT ERIC HANSON
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Credential |
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Telephone | 612-432-4131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 209800000X
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Taxonomy Name | Legal Medicine (M.D./D.O.) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 202C00000X
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Taxonomy Name | Independent Medical Examiner Physician
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License Number |
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License Number State |
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