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General NPI Number Information
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NPI Number | 1881574754
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Entity Type | Individual
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Provider Name | EILEEN B HANSON L.N.
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Gender | Female
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Dates
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Enumeration Date | 09/03/2025
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 1401 WILLIAM ST SE
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City | ALBUQUERQUE
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State | NM
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Zip | 87102-4661
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Country | US
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Telephone | 505-205-4053
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Fax |
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Provider Business Mailing Address
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Address Line | 508 WESTERN SKIES DR SE
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City | ALBUQUERQUE
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State | NM
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Zip | 87123-3776
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Country | US
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Telephone | 505-205-4053
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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 | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number | LN-1099
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | LN-1099
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License Number State | NM
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