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General NPI Number Information
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NPI Number | 1578600565
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Entity Type | Individual
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Provider Name | CRAIG EUGENE HANSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 208 COLUMBUS ST
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City | HICKSVILLE
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State | OH
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Zip | 43526-1250
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Country | US
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Telephone | 419-542-6692
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Fax | 419-542-6685
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Provider Business Mailing Address
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Address Line | 1274 MADISON BLVD
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City | VAN WERT
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State | OH
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Zip | 45891-2554
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 4301057977
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 35068533
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number | 01053849A
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License Number State | IN
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