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Individual
MR. ROBERT BLAINE HANSEN
Active
Individual
MR. ROBERT BLAINE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
Primary
0101041467
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01927504
—
NY
01
—
130020497
MEDICARE RAILROAD
VA
01
—
15005
SENTRA PPO
—
01
—
150684200
OWCP FED WC VIA ACS
VA
01
—
265200
BCBS
VA
01
—
265200
PRIORITY HEALTH CARE INC
—
01
—
3336466004
CIGNA
—
01
—
54-1951442
HEALTH NETWORK
VA
01
—
54-1951442
AETNA
—
01
—
64452
MEDCOST
—
01
—
7112378
PREMIER HEALTH PLAN
VA
05
—
7112378
—
VA
05
—
890593R
—
NC
Enumeration date
08/19/2005
Last updated
04/06/2016
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