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General NPI Number Information
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NPI Number | 1245599414
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Entity Type | Individual
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Provider Name | LAUREN R HASTINGS CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 05/09/2012
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Last Update Date | 01/12/2025
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Provider Practice Location Address
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Address Line | 1800 PHOENIX BLVD SUITE 128-17 #1077
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City | ATLANTA
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State | GA
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Zip | 30349
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Country | US
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Telephone | 470-470-8946
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Fax | 470-222-2765
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Provider Business Mailing Address
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Address Line | 1034 MAIN ST # 331
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City | GARDENDALE
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State | AL
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Zip | 35071-3484
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Country | US
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Telephone | 404-550-9458
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 8460
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License Number State | GA
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