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Individual
TIMOTHY EARL HANSEN
Active
Individual
TIMOTHY EARL HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
A-964-99
NM
208VP0000X
Pain Medicine Physician
Primary
A-964-99
NM
Other
Enumeration date
06/16/2006
Last updated
07/18/2013
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