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General NPI Number Information
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NPI Number | 1891955498
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Entity Type | Individual
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Provider Name | MATTHEW R. HANSEN MD
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Gender | Male
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Dates
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Enumeration Date | 06/17/2008
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 9000 FRANKLIN SQUARE DR
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City | BALTIMORE
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State | MD
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Zip | 21237-3901
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Country | US
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Telephone | 724-933-0300
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Fax |
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Provider Business Mailing Address
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Address Line | 9000 FRANKLIN SQUARE DR
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City | BALTIMORE
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State | MD
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Zip | 21237-3901
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Country | US
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Telephone | 443-777-7180
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 095085
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 440136
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | D0076008
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 232286
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License Number State | MA
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