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General NPI Number Information
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NPI Number | 1881690493
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Entity Type | Individual
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Provider Name | DANIEL W HANSON MD
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Gender | Male
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Dates
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Enumeration Date | 06/28/2005
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Last Update Date | 03/13/2023
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Provider Practice Location Address
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Address Line | 2780 SNELLING AVE N STE 310
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City | ROSEVILLE
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State | MN
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Zip | 55113-7125
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Country | US
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Telephone | 612-670-4971
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Fax | 612-404-2580
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Provider Business Mailing Address
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Address Line | 2780 SNELLING AVE N STE 310
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City | ROSEVILLE
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State | MN
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Zip | 55113-7125
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Country | US
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Telephone | 612-670-4971
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Fax | 612-404-2580
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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 | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 48811
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 46458
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License Number State | MN
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