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General NPI Number Information
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NPI Number | 1598580995
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Entity Type | Organization
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Legal Business Name | HANSEN MILLER TROPICANA, PLLC
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Dates
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Enumeration Date | 11/20/2024
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 9575 W TROPICANA AVE STE 5
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City | LAS VEGAS
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State | NV
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Zip | 89147-8491
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Country | US
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Telephone | 702-213-3369
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Fax | 702-568-1983
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Provider Business Mailing Address
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Address Line | 9575 W TROPICANA AVE STE 5
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City | LAS VEGAS
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State | NV
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Zip | 89147-8491
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Country | US
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Telephone | 702-213-3369
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Fax | 702-568-1983
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Authorized Official
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Title or Position | OWNER
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Name | DR. BLAINE R HANSEN
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Credential | DMD
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Telephone | 702-568-1600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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