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General NPI Number Information
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NPI Number | 1790696821
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Entity Type | Individual
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Provider Name | NATALIE HANSON
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Gender | Female
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Dates
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Enumeration Date | 09/16/2026
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Last Update Date | 09/16/2026
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Provider Practice Location Address
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Address Line | 21395 JOHN MILLESS DR STE 600
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City | ROGERS
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State | MN
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Zip | 55374-4406
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Country | US
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Telephone | 763-428-2589
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Fax |
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Provider Business Mailing Address
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Address Line | 18294 GLADSTONE BLVD N
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City | MAPLE GROVE
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State | MN
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Zip | 55311-1100
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Country | US
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Telephone | 763-688-4717
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 14529
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License Number State | MN
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