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General NPI Number Information
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NPI Number | 1801925508
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Entity Type | Individual
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Provider Name | ANGELA HANSON PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 10/10/2019
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Provider Practice Location Address
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Address Line | 400 BURDICK EXPY E
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City | MINOT
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State | ND
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Zip | 58701-4768
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Country | US
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Telephone | 701-857-7900
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Fax |
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Provider Business Mailing Address
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Address Line | 12101 54TH AVE SW
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City | BURLINGTON
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State | ND
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Zip | 58722-9515
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Country | US
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Telephone | 701-340-7096
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 1590
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH4958
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License Number State | ND
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