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General NPI Number Information
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NPI Number | 1962509661
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Entity Type | Individual
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Provider Name | SYLVIA DADZIE HANSON M.D
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Gender | Female
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Dates
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Enumeration Date | 09/17/2006
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Last Update Date | 12/08/2019
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Provider Practice Location Address
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Address Line | 5500 ARMSTRONG RD VA MEDICAL CENTER
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City | BATTLE CREEK
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State | MI
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Zip | 49015-1014
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Country | US
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Telephone | 248-705-0935
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Fax |
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Provider Business Mailing Address
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Address Line | 6461 GOLDEN LN
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-3096
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Country | US
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Telephone | 248-705-0935
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 4301060295
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License Number State | MI
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