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General NPI Number Information
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NPI Number | 1750718508
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Entity Type | Individual
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Provider Name | SEAN HANSON PA-C
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Gender | Male
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Dates
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Enumeration Date | 10/10/2013
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 7 VANDERBILT PARK DR
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City | ASHEVILLE
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State | NC
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Zip | 28803-1700
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Country | US
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Telephone | 828-255-7776
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Fax |
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Provider Business Mailing Address
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Address Line | 40 PROSPECT AVENUE APARTMENT BUILDING 1-1K
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City | NORWLAK
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State | CT
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Zip | 06850
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Country | US
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Telephone |
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 0010-07625
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License Number State | NC
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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 | 0010-07625
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 2984
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License Number State | CT
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