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General NPI Number Information
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NPI Number | 1669851945
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Entity Type | Individual
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Provider Name | ASHLEY P HANSEN PA-C
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Gender | Female
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Dates
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Enumeration Date | 05/20/2015
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 330 FALCON RIDGE PKWY STE 400A
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City | MESQUITE
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State | NV
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Zip | 89027-8881
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Country | US
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Telephone | 435-628-9393
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Fax | 435-628-9382
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Provider Business Mailing Address
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Address Line | 1055 N 500 W ATTN CREDENTIALING
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City | PROVO
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State | UT
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Zip | 84604
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Country | US
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Telephone | 801-354-8225
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Fax | 801-418-0941
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA2924
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 13948513-1206
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License Number State | UT
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