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General NPI Number Information
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NPI Number | 1942141361
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Entity Type | Organization
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Legal Business Name | HANSEN HAWKINS AND WUERCH PLLC
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Dates
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Enumeration Date | 04/01/2026
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Last Update Date | 04/01/2026
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Provider Practice Location Address
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Address Line | 901 W MAIN ST
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City | WALLA WALLA
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State | WA
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Zip | 99362-2746
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Country | US
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Telephone | 509-735-9735
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Fax |
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Provider Business Mailing Address
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Address Line | 1363 COLUMBIA PARK TRL STE 201
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City | RICHLAND
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State | WA
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Zip | 99352-4770
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Country | US
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Telephone | 509-735-9735
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | STEPHEN W HANSEN
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Credential | DMD
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Telephone | 509-735-9735
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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