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General NPI Number Information
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NPI Number | 1649086489
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Entity Type | Organization
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Legal Business Name | LAURA M. HANSCHKA CRNFA
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Dates
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Enumeration Date | 12/06/2024
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 9003 E SHEA BLVD
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-6709
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Country | US
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Telephone | 480-882-7450
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Fax |
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Provider Business Mailing Address
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Address Line | 28150 N ALMA SCHOOL PKWY STE 103-285
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City | SCOTTSDALE
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State | AZ
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Zip | 85262-8061
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Country | US
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Telephone | 480-980-8206
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Fax | 480-281-5224
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Authorized Official
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Title or Position | OWNER
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Name | LAURA HANSCHKA
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Credential | CRNFA
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Telephone | 480-614-1501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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