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General NPI Number Information
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NPI Number | 1538240635
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Entity Type | Individual
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Provider Name | GREGORY J. HANSEN M.D.
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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 | 03/07/2023
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Provider Practice Location Address
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Address Line | THE CHESHIRE MEDICAL CENTER, 580 COURT STREET EMERGENCY MEDICINE DEPARTMENT
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City | KEENE
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State | NH
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Zip | 03431
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Country | US
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Telephone | 603-354-6600
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Fax | 603-354-6605
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Provider Business Mailing Address
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Address Line | THE CHESHIRE MEDICAL CENTER, 580 COURT STREET EMERGENCY MEDICINE DEPARTMENT
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City | KEENE
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State | NH
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Zip | 03431
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 11314
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License Number State | NH
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