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General NPI Number Information
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NPI Number | 1780564112
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Entity Type | Organization
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Legal Business Name | DIRECT ACCESS PRIMARY CARE
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Dates
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Enumeration Date | 09/05/2025
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 431 OHIO PIKE STE 223
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City | CINCINNATI
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State | OH
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Zip | 45255-3720
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Country | US
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Telephone | 513-951-3077
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Fax |
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Provider Business Mailing Address
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Address Line | 431 OHIO PIKE STE 223
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City | CINCINNATI
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State | OH
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Zip | 45255-3720
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Country | US
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Telephone | 513-951-3077
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Fax |
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Authorized Official
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Title or Position | CNP/OWNER
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Name | MR. MICHAEL KEITH HANSON JR.
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Credential | MSN, RN, CNP, WCC
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Telephone | 513-951-3055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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