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General NPI Number Information
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NPI Number | 1952221004
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Entity Type | Individual
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Provider Name | JUSTIN R HANSEN RRT
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Gender | Male
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Dates
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Enumeration Date | 07/20/2026
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Last Update Date | 07/20/2026
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Provider Practice Location Address
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Address Line | 1940 EL CAJON BLVD
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City | SAN DIEGO
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State | CA
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Zip | 92104-1096
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Country | US
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Telephone | 619-817-0772
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Fax |
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Provider Business Mailing Address
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Address Line | 9231 LAKE HILL RD
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City | SANTEE
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State | CA
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Zip | 92071-2152
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Country | US
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Telephone | 760-473-9594
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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 | 2279C0205X
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Taxonomy Name | Critical Care Registered Respiratory Therapist
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License Number | 28063
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License Number State | CA
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