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General NPI Number Information
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NPI Number | 1871953455
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Entity Type | Individual
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Provider Name | HARLEEN HANSEN DMD
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Gender | Female
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Dates
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Enumeration Date | 02/25/2016
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Last Update Date | 07/11/2024
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Provider Practice Location Address
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Address Line | 9915 W MCDOWELL RD STE 106
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City | AVONDALE
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State | AZ
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Zip | 85392
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Country | US
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Telephone | 623-907-4562
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Fax |
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Provider Business Mailing Address
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Address Line | 6235 E CHARTER OAK RD
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City | SCOTTSDALE
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State | AZ
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Zip | 85254
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Country | US
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Telephone | 602-390-1109
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | D009667
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License Number State | AZ
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