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General NPI Number Information
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NPI Number | 1164025391
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Entity Type | Organization
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Legal Business Name | HASTINGS NUTRITION LLC
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Dates
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Enumeration Date | 11/19/2020
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Last Update Date | 10/14/2021
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Provider Practice Location Address
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Address Line | 7378 PARK HEIGHTS AVE
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City | PIKESVILLE
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State | MD
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Zip | 21208-5436
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Country | US
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Telephone | 410-205-6061
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Fax |
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Provider Business Mailing Address
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Address Line | 7378 PARK HEIGHTS AVE
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City | BALTIMORE
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State | MD
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Zip | 21208-5436
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Country | US
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Telephone | 414-975-8672
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Fax |
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Authorized Official
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Title or Position | CEO, REGISTERED DIETITIAN
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Name | TZIPORA D. HASTINGS
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Credential | RDN
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Telephone | 443-983-1770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State | NULL
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