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General NPI Number Information
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NPI Number | 1942732342
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Entity Type | Individual
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Provider Name | JACOB HANSEN DO
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Gender | Male
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Dates
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Enumeration Date | 04/03/2017
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | LANDSTUHL REGIONAL MEDICAL CENTER UNIT 33100
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City | APO
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State | NY
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Zip | 09180-3100
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Country | US
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Telephone | 314-590-7604
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Fax |
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Provider Business Mailing Address
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Address Line | 1 JARRETT WHITE RD TRIPLER ARMY MEDICAL CENTER
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City | TRIPLER ARMY MEDICAL CENTER
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State | HI
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Zip | 96859-5001
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Country | US
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Telephone |
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 103836
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 38234
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 1991
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License Number State | NE
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | DO4191
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License Number State | ME
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Taxonomy #5
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 0102209386
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License Number State | VA
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