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General NPI Number Information
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NPI Number | 1528862935
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Entity Type | Organization
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Legal Business Name | HANSON MEDICAL SERVICES PLLC
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Dates
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Enumeration Date | 04/03/2025
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 2250 REED STATION PKWY
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City | CARBONDALE
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State | IL
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Zip | 62901-8101
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Country | US
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Telephone | 618-457-4999
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Fax |
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Provider Business Mailing Address
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Address Line | 2250 REED STATION PKWY
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City | CARBONDALE
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State | IL
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Zip | 62901-8101
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Country | US
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Telephone | 618-457-4999
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Fax |
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | DR. CHRISTOPHER HANSON
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Credential | MD
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Telephone | 815-584-6415
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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 |
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License Number State |
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