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General NPI Number Information
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NPI Number | 1962363630
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Entity Type | Organization
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Legal Business Name | HANSEN DMD AND HAWKINS DMD PLLC
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Dates
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Enumeration Date | 11/20/2025
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Last Update Date | 11/20/2025
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Provider Practice Location 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 | 509-735-9598
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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 | 509-735-9598
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Authorized Official
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Title or Position | MEMBER MANAGER
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Name | STEPHEN WESLEY HANSEN
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Credential | DMD
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Telephone | 509-440-1238
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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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