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General NPI Number Information
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NPI Number | 1669281804
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Entity Type | Individual
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Provider Name | ARI THOR HANSEN
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Gender | Male
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Dates
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Enumeration Date | 01/02/2025
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 205 W GIACONDA WAY STE 105
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City | TUCSON
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State | AZ
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Zip | 85704-4350
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Country | US
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Telephone | 520-371-2481
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Fax |
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Provider Business Mailing Address
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Address Line | 12565 N AVENIDA SATURNO
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City | MARANA
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State | AZ
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Zip | 85653-9559
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Country | US
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Telephone | 520-371-2481
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT13007
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License Number State | AZ
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