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General NPI Number Information
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NPI Number | 1780868158
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Entity Type | Organization
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Legal Business Name | ROBERT P. HANSEN, INC.
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Dates
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Enumeration Date | 12/20/2007
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Last Update Date | 10/30/2008
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Provider Practice Location Address
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Address Line | 6721 N WILLOW AVE STE 104
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City | FRESNO
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State | CA
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Zip | 93710-5950
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Country | US
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Telephone | 225-363-2193
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Fax | 225-363-2276
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Provider Business Mailing Address
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Address Line | PO BOX 2064
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City | PRAIRIEVILLE
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State | LA
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Zip | 70769-2064
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Country | US
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Telephone | 225-363-2193
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Fax | 225-363-2276
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT P HANSEN
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Credential | MD
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Telephone | 559-287-9588
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | G53037
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License Number State | CA
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