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Individual
JACOB HYDE HANSEN
Active
Individual
JACOB HYDE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHR0007032
CO
111N00000X
Chiropractor
DC31942
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
821009639
WAITING FOR MEDICARE NUMBER TO COME THROUGH
—
Enumeration date
03/14/2011
Last updated
07/21/2022
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