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General NPI Number Information
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NPI Number | 1891002937
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Entity Type | Organization
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Legal Business Name | EW HANSON, LLC
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Dates
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Enumeration Date | 09/10/2010
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Last Update Date | 10/14/2010
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Provider Practice Location Address
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Address Line | 601 TEKULVE RD
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City | BATESVILLE
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State | IN
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Zip | 47006-8982
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Country | US
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Telephone | 812-932-1203
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Fax | 812-932-1204
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Provider Business Mailing Address
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Address Line | 601 TEKULVE RD
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City | BATESVILLE
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State | IN
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Zip | 47006-8982
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Country | US
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Telephone | 812-932-1203
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Fax | 812-932-1204
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Authorized Official
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Title or Position | OWNER/CLINIC DIRECTOR
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Name | DR. ERIK WILLIAM HANSON
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Credential | D.C.
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Telephone | 812-932-1203
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 08002061A
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License Number State | IN
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