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General NPI Number Information
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NPI Number | 1265682785
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Entity Type | Organization
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Legal Business Name | JENNIFER HASTINGS, DC, PA
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Dates
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Enumeration Date | 09/19/2008
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Last Update Date | 09/19/2008
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Provider Practice Location Address
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Address Line | 8604 GRIFFIN RD
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City | COOPER CITY
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State | FL
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Zip | 33328-3719
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Country | US
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Telephone | 954-533-2614
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Fax | 954-533-2615
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Provider Business Mailing Address
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Address Line | 8604 GRIFFIN RD
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City | COOPER CITY
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State | FL
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Zip | 33328-3719
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Country | US
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Telephone | 954-533-2614
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Fax | 954-533-2615
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Authorized Official
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Title or Position | OWNER
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Name | DR. JENNIFER HASTINGS
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Credential | DC
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Telephone | 954-533-2614
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH9092
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License Number State | FL
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