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General NPI Number Information
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NPI Number | 1902846645
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Entity Type | Individual
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Provider Name | ZACHARY HENRY LEE HANSEN MD
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Gender | Male
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 01/01/2022
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Provider Practice Location Address
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Address Line | 800 20TH ST
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City | HUNTINGTON
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State | WV
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Zip | 25703-1850
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Country | US
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Telephone | 304-696-8700
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Fax | 304-696-8701
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Provider Business Mailing Address
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Address Line | 1600 MEDICAL CENTER DR
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City | HUNTINGTON
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State | WV
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Zip | 25701-3656
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Country | US
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Telephone | 304-691-1100
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 22055
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License Number State | WV
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