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1801925508 NPI number — ANGELA HANSON PHARM.D.

NPI Number: 1801925508
Health Care Provider/Practitioner: ANGELA HANSON PHARM.D.

Information about “1801925508” NPI (ANGELA HANSON PHARM.D.) exists in 1801925508 in HTML format HTML  |  1801925508 in plain Text format TXT  |  1801925508 in PDF (Portable Document Format) PDF  |  1801925508 in an XML format XML  formats.

NPI Number : 1801925508 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1801925508",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HANSON",
    "FirstName": "ANGELA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PHARM.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "12101 54TH AVE SW",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BURLINGTON",
    "MailingAddressStateName": "ND",
    "MailingAddressPostalCode": "58722-9515",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "701-340-7096",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "400 BURDICK EXPY E",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MINOT",
    "PracticeLocationAddressStateName": "ND",
    "PracticeLocationAddressPostalCode": "58701-4768",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "701-857-7900",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/06/2007",
    "LastUpdateDate": "10/10/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "1590",
          "LicenseNumberStateCode": "AK",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "RPH4958",
          "LicenseNumberStateCode": "ND",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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