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General NPI Number Information
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NPI Number | 1710185806
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Entity Type | Individual
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Provider Name | DAVID JAMES HANSEN PHD
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Gender | Male
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Dates
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Enumeration Date | 07/10/2007
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Last Update Date | 07/10/2007
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Provider Practice Location Address
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Address Line | 325 BURNETT HALL UNIVERSITY OF NEBRASKA LINCOLN
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City | LINCOLN
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State | NE
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Zip | 68588-0311
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Country | US
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Telephone | 402-472-2351
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Fax | 402-472-6804
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Provider Business Mailing Address
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Address Line | 7510 CARDWELL CIR
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City | LINCOLN
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State | NE
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Zip | 68523
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Country | US
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Telephone | 402-420-7310
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 302
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License Number State | NE
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