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General NPI Number Information
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NPI Number | 1801121991
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Entity Type | Individual
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Provider Name | PAMELA JEAN HANSON M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/07/2009
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 1401 STEFFEN AVE
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City | CINCINNATI
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State | OH
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Zip | 45215-2338
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Country | US
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Telephone | 513-728-3999
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Fax |
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Provider Business Mailing Address
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Address Line | 1401 STEFFEN AVE
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City | CINCINNATI
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State | OH
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Zip | 45215-2338
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Country | US
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Telephone | 513-330-8293
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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 | 2083A0300X
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Taxonomy Name | Addiction Medicine (Preventive Medicine) Physician
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License Number | 35050843
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | 35.050843
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License Number State | OH
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